Shannon Clara Anderson, FNP-C, APNP
Individual provider Active NPI Family Nurse Practitioner · Monona, WI
NPI 1710488648 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1710488648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8249-33 (WI)
- Practice address
- 1050 E Broadway
Monona, WI 53716 - Phone
- (608) 222-8779
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
- Unitypoint Health - Meriter
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180315000660 | WI | Practitioner - Nurse Practitioner | 5698037448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
1050 E Broadway
Monona, WI 53716
Phone (608) 222-8779
Interoperability endpoints
- sanderson6978@direct.uwhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8249-33 | WI | Yes |
Addresses
Primary practice location
1050 E Broadway
Monona, WI 53716
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other providers in Monona, WI
- Sara Jane Allee-Jatta
- Ampt Advanced Manual Physical Therapy Specialty PT Clinics, Inc.
- Anchor and Wave Wellness LLC
- Kelle Christine Anderson
- Mark Christopher Anderson
- Applewhite Dental Wisconsin, P.C.
- Apria Healthcare LLC
- Debora Armstrong
- Lucy Awuku-Darkoh
- Danielle Bailey
All providers in Monona, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.