Individual provider Active NPI

Shannon Steiner

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1942740071
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
225058 Issued in AZ
Practice address
14873 W Bell Rd Ste 100
Surprise, AZ 85374-7609
Phone
(623) 815-7800
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992985-NP CO
Registered Nurse 163W00000X 1620156 CO
Family Nurse Practitioner 363LF0000X 225058 AZ
Nurse Practitioner 363L00000X 225058 AZ Primary

Addresses

Primary practice location

14873 W Bell Rd Ste 100
Surprise, AZ 85374-7609

Mailing address

9145 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4820

Other practice location 1

4175 S Alamo Ave
Davis Monthan AFB, AZ 85707
Phone (520) 228-2778

Other practice location 2

4175 S Alamo Ave
Davis Monthan AFB, AZ 85707
Phone (520) 228-2778

Other names 1

  • Shannon Dyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000551 NE Practitioner - Nurse Practitioner 7012286263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1620156COMDRegistered Nurse
225058AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Medical Group, P.C. CurrentSince Jul 13, 2020 Accepting new patients
Phoenix Medical Group, PC CurrentSince Jul 13, 2020 Accepting new patients
Unmc Physicians CurrentSince Aug 8, 2024 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6677 W Thunderbird Rd
Ste E
Glendale, AZ 85306
Phone (602) 439-0815

9145 W Thunderbird Rd
Ste 101
Peoria, AZ 85381

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

14873 W Bell Rd
Ste 100
Surprise, AZ 85374

17405 Burke St
Ste 20160
Omaha, NE 68118

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: shannon.steiner.1@28150.direct.athenahealth.com
  • Direct secure messaging: ssteiner484919@direct.nebraskamed.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1942740071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14873 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747609",
            "telephone_number": "623-815-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 S Alamo Ave",
            "address_purpose": "LOCATION",
            "city": "Davis Monthan AFB",
            "state": "AZ",
            "postal_code": "85707",
            "country_code": "US",
            "telephone_number": "520-228-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 S Alamo Ave",
            "address_purpose": "LOCATION",
            "city": "Davis Monthan AFB",
            "state": "AZ",
            "postal_code": "85707",
            "country_code": "US",
            "telephone_number": "520-228-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINER",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992985-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1620156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "225058",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "225058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.