Shannon Kathleen Lindley, PMHNP-BC
Individual provider Active NPI Psychiatry Physician · Ames, IA
NPI 1720509342 · NPPES record last updated Jul 5, 2017
Key facts
- NPI
- 1720509342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G120540 (IA)
- Practice address
- 1111 Duff Ave
Ames, IA 50010-5745 - Phone
- (515) 239-2011
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mary Greeley Medical Center
Practice addresses (Care Compare)
1111 Duff Ave
Suite 1431
Ames, IA 50010-5745
Phone (515) 239-6882
Hospital & facility affiliations
- Mary Greeley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20170809002418 | IA | Practitioner - Nurse Practitioner | 2769753730 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G120540 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Greeley Medical Center | Current | Accepting new patients | |
| Mary Greeley Medical Center | Current |
Accepting new patients | |
| Mary Greeley Medical Center | Current |
Accepting new patients | |
| Mary Greeley Medical Center | Current | Accepting new patients |
Locations
1111 Duff Ave
Ste 1431
Ames, IA 50010
Phone (515) 239-2011
1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G120540 | IA | Yes |
Addresses
Primary practice location
1111 Duff Ave
Ames, IA 50010-5745
Mailing address
1111 Duff Ave
Ames, IA 50010-5745
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2017. 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.