Individual provider Active NPI

Stephanie Anne Meier Shannon, ARNP

  • Family Nurse Practitioner
  • Anamosa, IA
National Provider Identifier
1285978718
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209024439 Issued in IL
Practice address
1795 Highway 64 E
Anamosa, IA 52205-2112
Phone
(319) 462-6131
NPI assigned
Nov 21, 2012
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-113993 IA
Family Nurse Practitioner 363LF0000X 209024439 IL Primary

Addresses

Primary practice location

1795 Highway 64 E
Anamosa, IA 52205-2112

Mailing address

9935 Ginger RDG
Dubuque, IA 52001-8226
Phone (563) 582-1918

Other practice location 1

1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address midwestmedical@midwestmedicalcenter.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000235 IA Practitioner - Nurse Practitioner 6608021266 Reassigns benefits to 1 organization
I20220412002602 IL Practitioner - Nurse Practitioner 6608021266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical CenterGroup PAC ID 5698771848, 36 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Galena, IL 61036

1 Medical Ctr Dr
Galena, IL 61036-8118
Phone (815) 777-1340

10902 Dogleg RDG
Galena, IL 61036-8206
Phone (815) 776-7265

15 Wedgewood Dr
Galena, IL 61036-8677
Phone (815) 776-7265

256 S Grebner Rd
Elizabeth, IL 61028-9425
Phone (815) 776-7265

412 /2 S Main St
Suite 202
Galena, IL 61036-2231
Phone (815) 777-1340

6756 Stephanie CT
Galena, IL 61036-8801
Phone (815) 776-7265

8844 S Massbach Rd
Elizabeth, IL 61028-9714
Phone (815) 776-7265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-113993IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Nov 1, 2016 Accepting new patients
The Finley Hospital Family CurrentSince Nov 1, 2016 Accepting new patients
Midwest Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Midwest Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Dubuque Radiological Associates, PC Past Accepting new patients

Locations

610 2nd Ave NE
Cascade, IA 52033
Phone (563) 852-5050

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

2255 John F Kennedy Rd
Ste 150
Dubuque, IA 52002
Phone (563) 589-4960

4170 Pennsylvania Ave
Ste 1
Dubuque, IA 52002
Phone (563) 588-0011

4170 Pennsylvania Ave
Ste 2
Dubuque, IA 52002
Phone (563) 588-8060

8456 Peosta Commercial Ct
Peosta, IA 52068
Phone (563) 557-2920

1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381

Interoperability endpoints

  • Direct secure messaging: midwestmedical@midwestmedicalcenter.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1285978718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 GINGER RDG",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520018226",
            "telephone_number": "563-582-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368118",
            "country_code": "US",
            "telephone_number": "815-777-1340",
            "fax_number": "815-776-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIER SHANNON",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-113993",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Midwest Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1 Medical Center Dr",
            "city": "Galena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610368118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anamosa, IA

Sources for this page

Verify at the official NPI Registry.