Shannon Danielle Fry, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277003983 Issued in IL

Practice address

767 30TH St
Rock Island, IL 61201-1945

Phone

(309) 788-7631

Fax

(309) 515-1044

NPI assigned

Jun 20, 2022

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

17.67 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

58.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Quality Care Partners LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Erie, IL
  • NPI 1114747060
  Medicare reassignment NPD Authorized official
• Chestnut Health of Illinois LLC

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1588043939
  Medicare reassignment NPD
• Mercyone Central Iowa Urgent Care

  • Clinic/Center
  • Des Moines, IA
  • NPI 1790422095
  Medicare reassignment NPD
• Ehealth 360

  • Primary Care Clinic/Center
  • Donahue, IA
  • NPI 1316636913
  NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1982335022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5789 CORDOVA RD",
            "city": "ERIE",
            "state": "IL",
            "postal_code": "612509740",
            "telephone_number": "309-696-4242",
            "fax_number": "309-515-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 30TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612011945",
            "telephone_number": "309-788-7631",
            "fax_number": "309-515-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "SHANNON",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003983",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "277003983",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "277003983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Rock Island)
• Andrew Friederich, MD
• Friendship Manor, Inc.
• Katelin Ann Froelich
• Mary Elizabeth Frost, DC
• Shu Fu, MA
• Jenesca Fuhrman
• Haley Gabelmann, MHP, B.S.
• Andrea Gaeta
• Elizabeth Kay Galbraith, LCSW

• Family Nurse Practitioner in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.