Traci L. Shogren-Knaak, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

36163 Issued in IA

Practice address

1111 Duff Ave
Ames, IA 50010-5793

Phone

(515) 239-2182

Fax

(515) 239-3665

NPI assigned

Nov 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Traci Lynn Shogren Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of California, Geffen School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Greeley Medical Center Hospital, Ames, IA, CCN 160030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshogrenknaak873@directmcfarlandclinic.com

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

• McFarland Clinic PC

  • Multi-Specialty Clinic/Center
  • Ames, IA
  • NPI 1639135643
  Medicare reassignment Care Compare group NPD

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

• Mary Greeley Medical Center

  • General Acute Care Hospital
  • Ames, IA
  • NPI 1477539492
  Care Compare affiliation

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1629059001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105793",
            "telephone_number": "515-239-2182",
            "fax_number": "515-239-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105793",
            "telephone_number": "515-239-2182",
            "fax_number": "515-239-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOGREN-KNAAK",
        "first_name": "TRACI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "36163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshogrenknaak873@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "SHOGREN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kylea Jo Sheley, ATC
• Hayley Anna Boes Shelton, PT, DPT
• Hannah E Sheridan
• John Dee Shierholz, M.D.
• Annette Marie Shipley, LMSW
• Adrienne Rae Shrader, LMHC, CADC
• Marc A Shulman, M.D.
• Kristen Nicole Sievert, PHD, LP
• Jessica F. Siler, PA-C
• Jennifer L. Sills, ARNP

• Anesthesiology Physician in Ames, IA
• Providers in Ames, IA by specialty
• Anesthesiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.