SHANNON ELIZABETH DAVISON-WIESE (ARNP) – Family Nurse Practitioner, NPI 1043568934
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for SHANNON ELIZABETH DAVISON-WIESE (ARNP)
1500 ASSOCIATES DR
DUBUQUE, IA 520022201
Phone: (563) 584-4100
Fax: (563) 584-4110
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Nevro Corp. ($35).
Total Amount
$35
General + Research + Ownership
Payments
1
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121025000441 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 53 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 44 | 44 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 34 | 28 | $0 |
| 72070 | X-ray of middle spine, 2 views | 22 | 17 | $0 |
Insurance plans in this area (ZIP 52002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 11 | 11 |
| NURSE PRACTITIONER | IA | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 32 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospitalist | IA | |
| Orthopedic Surgery | IA | |
| N E U R O L O G Y | IA | |
| Family Practice | IA | |
| Internal Medicine | IA | |
| Physician Assistant | IA | |
| Internal Medicine, Nephrology | IA | |
| Orthopedic Surgery | WI | |
| Physical Medicine And Rehabilitation | IA | |
| Nurse Practitioner | IA |
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