SHANNON MARIE GREEN (ARNP) – Family Nurse Practitioner, NPI 1134675937
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 MARIE GREEN (ARNP)
PO BOX 677075
DALLAS, TX 752677075
Phone: (641) 437-3483
Type: Mailing
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 643-8611
Fax: (515) 643-8812
Type: Mailing
1 Saint Joseph Dr
Centerville, IA 525449017
Phone: (641) 437-4111
Type: Location
330 Laurel Street
Suite 2100
Des Moines, IA 503143068
Phone: (515) 643-8611
Fax: (515) 643-8812
Type: Location
Broadlawns Medical Center, 1801, Hickman Road, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 50314
Phone: (515) 282-8270
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $926.
Total Amount is formed as General ($926) + Research ($0) + Ownership ($0) = $926.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($489).
Total Amount
$926
General + Research + Ownership
Payments
54
Total payment records
General Amount
$926
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $489 |
| Abbott Laboratories | $97 |
| Collegium Pharmaceutical, Inc. | $83 |
| BIOTRONIK NRO, Inc. | $82 |
| Averitas Pharma Inc. | $81 |
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: 2016-11-11
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 |
|---|---|---|---|---|
| I20161111000415 | 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 | 160 | 42 | $0 |
Insurance plans in this area (ZIP 75267)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA | |
| O P T O M E T R Y | IA | |
| - | IA |
Reviews
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