SHANNON MONAGHAN (PA) – Physician Assistant, NPI 1366803488
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for SHANNON MONAGHAN (PA)
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-1616
Fax: (319) 384-7822
Type: Location
500 E Market St
Iowa City, IA 522452633
Phone: (319) 339-3551
Type: Location
752 N HIGH POINT RD
MADISON, WI 537172236
Phone: (608) 824-4000
Fax: (608) 824-4917
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-1616
Fax: (319) 384-7822
Type: Location
3056 River Crossing Ct
Riverside, IA 523274733
Phone: (319) 467-8355
Fax: (319) 467-8351
Type: Location
920 E 2nd Ave Ste 201A&b
Coralville, IA 522412219
Phone: (319) 467-2000
Fax: (319) 467-2815
Type: Location
300, North Rufe Snow Drive, Keller, Tarrant County, Texas, 76248, United States
KELLER, TX 762484235
Phone: (817) 431-3800
Type: Mailing
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-01-10 • Largest payer in this snapshot: ABBVIE INC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $24 |
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: 2019-08-05
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 |
|---|---|---|---|---|
| I20190805001487 | I | Physician Assistant | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52242)
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