Individual provider Active NPI

Shannon Renee Fecher, ARNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1316371974
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A100663 Issued in IA
Practice address
1428 2ND Ave N
Fort Dodge, IA 50501-4119
Phone
(515) 574-6110
NPI assigned
Aug 30, 2013
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A100663 IA Primary

Addresses

Primary practice location

1428 2ND Ave N
Fort Dodge, IA 50501-4119

Mailing address

1428 2ND Ave N
Fort Dodge, IA 50501-4119
Phone (515) 574-6110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001539 IA Practitioner - Nurse Practitioner 8426284001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

1536 N 29TH St
Bickford of Fort Dodge
Fort Dodge, IA 50501-2148
Phone (515) 573-3300

2400 6TH Ave N
Marian Home
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A100663IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

Interoperability endpoints

  • Direct secure messaging: sfecher155045@direct.unitypoint.org

Organizations & group practices 2

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 3

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1316371974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-574-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-574-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHER",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A100663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.