Individual provider Active NPI

Shannon Renae Bassett, FNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1538830898
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
A160964 Issued in IA
Practice address
1212 Pleasant St Ste 405
Des Moines, IA 50309-1413
Phone
(515) 241-4000
NPI assigned
Sep 25, 2021
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 A160964 IA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X A160964 IA Primary

Addresses

Primary practice location

1212 Pleasant St Ste 405
Des Moines, IA 50309-1413

Mailing address

522 NE Stoneridge Dr
Ankeny, IA 50021-4116
Phone (515) 447-3114

Other practice location 1

522 NE Stoneridge Dr
Ankeny, IA 50021-4116
Phone (515) 447-3114

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
I20230131000459 IA Practitioner - Nurse Practitioner 4183095169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1212 Pleasant St
Suite 405
Des Moines, IA 50309-1413
Phone (515) 241-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Single Specialty CurrentSince Nov 7, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Nov 7, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1212 Pleasant St
Ste 405
Des Moines, IA 50309
Phone (515) 241-4000

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • Direct secure messaging: saschoff156492@direct.unitypoint.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1538830898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 NE STONERIDGE DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214116",
            "telephone_number": "515-447-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST STE 405",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091413",
            "telephone_number": "515-241-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 NE Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500214116",
            "country_code": "US",
            "telephone_number": "515-447-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "SHANNON",
        "middle_name": "RENAE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160964",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "A160964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.