SHANNON M MENTZER (ARNP) – Family Nurse Practitioner, NPI 1184957839
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Loading map...
Provider Addresses for SHANNON M MENTZER (ARNP)
1236, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States
SUITE 300
DAVENPORT, IA 528032434
Phone: (563) 324-2992
Fax: (563) 324-8562
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($134).
Total Amount
$260
General + Research + Ownership
Payments
9
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $134 |
| Shockwave Medical, Inc | $51 |
| Abbott Laboratories | $35 |
| ShockWave Medical, Inc | $23 |
| Teleflex LLC | $16 |
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: 2010-01-16
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 |
|---|---|---|---|---|
| I20100116000296 | 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 |
|---|---|---|---|---|
| 99238 | Hospital discharge day management, 30 minutes or less | 62 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27 | 23 | $0 |
Insurance plans in this area (ZIP 52803)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| Nurse Practitioner | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric Medicine | IA | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| Nurse Practitioner | IA | |
| Cardiac Electrophysiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| Nurse Practitioner | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.