Mrs Shanna Jay Dierker, FNP-BC in Appleton, WI

Mrs Shanna Jay Dierker, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blessing Hospital and her current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 702-6371.

Mrs Shanna Jay Dierker is licensed to practice in Wisconsin (license number 15817) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558728337.

Contact Information

	Mrs Shanna Jay Dierker, FNP-BC
	3925 N Gateway Dr, Appleton, WI 54913-7863
	(920) 702-6371
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shanna Jay Dierker
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3925 N Gateway Dr, Appleton, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shanna Jay Dierker graduated from nursing school in 2015

NPI Data:

NPI Number: 1558728337
Provider Enumeration Date: 01/25/2016
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6406154608
Enrollment ID: I20160927002680

Medical Identifiers

Medical identifiers for Mrs Shanna Jay Dierker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558728337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2015032867 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	A143402 (Iowa)	Secondary
163W00000X	Registered Nurse	041404031 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209-014331 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	15817 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blessing Hospital	3072422534	349

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shanna Jay Dierker allows following entities to bill medicare on her behalf.

Entity Name	Blessing Corporate Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shanna Jay Dierker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shanna Jay Dierker, FNP-BC 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 702-6371	Mrs Shanna Jay Dierker, FNP-BC 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 702-6371

Reviews and Comments

Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900
Dessia J Laxton, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-738-5369
Katie Geiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913 Phone: 920-886-9380
Ingrid K Simpson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-831-1867
Lisa Valiquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-738-4600 Fax: 920-738-4792
Kimberly A Romenesko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645 Fax: 920-735-7618
Steven R Hamel, APN FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877

Mrs Shanna Jay Dierker, FNP-BC - Medicare Nurse Practitioner in Appleton, WI