SHANNON PETERSON (DNP, ARNP) – Family Nurse Practitioner, NPI 1215345210

SHANNON PETERSON (DNP, ARNP) is a healthcare provider. based in Atlantic, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, ARNP. They hold a License No. A112768 (IA). The NPI Number for SHANNON PETERSON (DNP, ARNP) is 1215345210

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON PETERSON (DNP, ARNP)
NPI
1215345210
Phone
(712) 243-2850
Address
1501 E 10TH ST
Enumeration Date
23 July 2014
Last Update Date
28 August 2019

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7122433250
Graduation Year
2014 (12 years ago)
PAC ID
8426276809
Group Practice PAC ID
5294634994
Professional Enrollment ID
I20140826002793
Address ID
IA500221936AT1501XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for SHANNON PETERSON (DNP, ARNP)

  • 1501 E 10TH ST

    ATLANTIC, IA 500221936

    Phone: (712) 243-2850

    Fax: (712) 243-7423

    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: 2023-11-08 • Largest payer in this snapshot: ABBVIE INC. ($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

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140826002793INurse PractitionerIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6744$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5251$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4936$0
99238Hospital discharge day management, 30 minutes or less4039$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 50022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294634994View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIA
Internal MedicineIA
Emergency MedicineIA
Internal Medicine, RheumatologyIA
Family PracticeIA
Nurse PractitionerUT
Family PracticeSC
General SurgeryIA
Physician AssistantWA
R H E U M A T O L O G YIA

Reviews

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Frequently asked questions

What is SHANNON PETERSON (DNP, ARNP)'s NPI number?
SHANNON PETERSON (DNP, ARNP)'s NPI is 1215345210 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SHANNON PETERSON (DNP, ARNP)?
For scheduling context, SHANNON PETERSON (DNP, ARNP) is shown as active in the registry.
What clinical focus is listed for SHANNON PETERSON (DNP, ARNP)?
At a glance, SHANNON PETERSON (DNP, ARNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Iowa is SHANNON PETERSON (DNP, ARNP) registered?
Use Atlantic, Iowa as the headline location for SHANNON PETERSON (DNP, ARNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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