Shannon Vernnon Mobley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014250 Issued in MI

Practice address

532 1St St NW
Britt, IA 50423-1227

Phone

(641) 843-5050

Fax

(641) 843-5051

NPI assigned

May 5, 2006

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA, MN2 enrollments

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 2

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0187d1c0-26b8-42cb-81e4-84d2429978e8/
• Direct secure messaging: shannonmobley@hcmhn.cernerdirect.com

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.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment Care Compare group NPD
• Hancock County Health System

  • Critical Access Hospital
  • Britt, IA
  • NPI 1689721318
  Medicare reassignment NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment NPD
• Hancock County Health System

  • Family Medicine Physician
  • Britt, IA
  • NPI 1144434283
  NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Family and Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Mason City, IA
  • NPI 1982300349
  NPD
• Group Health, Inc.

  dba HealthPartners Well@Work St. Cloud

  • Health Service Clinic/Center
  • Waite Park, MN
  • NPI 1457836454
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1710935192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 1ST ST NW",
            "city": "BRITT",
            "state": "IA",
            "postal_code": "504231227",
            "telephone_number": "641-843-5050",
            "fax_number": "641-843-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "SHANNON",
        "middle_name": "VERNNON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ShannonMobley@hcmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hancock County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "532 1st St NW",
            "city": "Britt",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504231227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard A Kilgore, CRNA
• Kristina Mae Klemz, SLP
• Julie Ann Larson, ARNP
• Debra Ann Lasher, CRNA
• Ashley Marie Mefferd, PMHNP-BC, ARNP
• Amber Joy Nielsen, LISW
• Patience C Onuoha DO PC
• Keely Rose Paus
• Joseph David Petersen, DO
• Dawn Peterson, MD

• Family Medicine Physician in Britt, IA
• Providers in Britt, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.