DR. TRACI L. SHOGREN-KNAAK (M.D.) – Anesthesiology Physician, NPI 1629059001
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
556 ANESTHESIOLOGY in IA
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Provider Addresses for DR. TRACI L. SHOGREN-KNAAK (M.D.)
Mary Greeley Medical Center, 1111, Duff Avenue, Ames, Story County, Iowa, 50019, United States
AMES, IA 500105793
Phone: (515) 239-2182
Fax: (515) 239-3665
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)
No Open Payments data available for this provider.
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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: 2005-08-10
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 |
|---|---|---|---|---|
| I20050810000283 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 89 | 84 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 19 | 19 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 14 | 14 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 13 | 13 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 50010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Internal Medicine | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Family Practice | IA | |
| R H E U M A T O L O G Y | IA |
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