Shannan Nicole Larson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D133501 Issued in IA

Practice address

404 Jefferson St
Pella, IA 50219

Phone

(641) 628-6634

Fax

(641) 621-2458

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M and M Anesthesia LLCGroup PAC ID 2961823596, 18 clinicians

Ikc LLCGroup PAC ID 5294140851, 19 clinicians

Mercy Medical Center-NewtonGroup PAC ID 7911803176, 15 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

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

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: himadmin@vdmc.cernerdirect.com
• Direct secure messaging: sschoening309415@direct.unitypoint.org

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.

• Ikc, LLC

  • Clinic/Center
  • West Des Moines, IA
  • NPI 1659904803

  IA

  Medicare reassignment Care Compare group NPD
• M & M Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Ankeny, IA
  • NPI 1326668328

  IA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mercy Medical Center-Newton

  • Certified Registered Nurse Anesthetist
  • Newton, IA
  • NPI 1134509292

  IA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Iowa PLC

  • Anesthesiology Physician
  • Pella, IA
  • NPI 1114018983

  Anesthesiology, IA

  Medicare reassignment NPD
• Crawford County Memorial Hospital

  • Critical Access Hospital
  • Denison, IA
  • NPI 1578555116

  IA

  Medicare reassignment NPD
• Dallas County Hospital

  • Critical Access Hospital
  • Perry, IA
  • NPI 1669477089

  IA

  Medicare reassignment NPD
• Franklin General Hospital

  • Critical Access Hospital
  • Hampton, IA
  • NPI 1477637759

  IA

  Medicare reassignment NPD
• Hamilton County Public Hospital

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397

  IA

  Medicare reassignment NPD
• Hamilton County Public Hospital

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351

  IA

  Medicare reassignment NPD
• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977

  IA

  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661

  IA

  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1750701009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843032",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843032",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JEFFERSON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-628-6634",
            "fax_number": "641-621-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "563-271-9660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505956600",
            "country_code": "US",
            "telephone_number": "515-832-9400",
            "fax_number": "515-832-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SHANNAN",
        "middle_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "133501",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D133501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "himadmin@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@flmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Franklin General Hospital Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1720 Central Ave E",
            "city": "Hampton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504411869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HANSEN FAMILY HOSPITAL DIRECT EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "920 S Oak St",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501262400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sscho@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kurt R. Vander Ploeg, M.D., P.C.
• John Labernik, DNP, CRNA
• James Alexander Lamgo
• Cassandra Marie Lanning, DO
• Maria Luz Lao, MD
• Julie A Lautenbach, PA-C
• Collin Stephen Lefeber
• Dale Lee Lensing, M.D.
• Mikayla Anne Leo, PA-C
• Life Leadership, LTD. (Dba- Life Point Counseling)

• All providers in Pella, IA
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.