Shannon Moeggenborg, APRN, FNP-C - Medicare Nurse Practitioner in Traverse City, MI

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Shannon Moeggenborg, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Traverse City, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Caberfae Emergency Group Pc, Northwestern Michigan Emergency Physicians Pc and her current practice location is 1105 Sixth St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 947-0673.

Shannon Moeggenborg is licensed to practice in Michigan (license number 4704265833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528467669.

Contact Information

Shannon Moeggenborg, APRN, FNP-C
1105 Sixth St,
Traverse City, MI 49684-2349
(231) 947-0673
(801) 740-2847

Map and Direction




Provider's Profile

Full NameShannon Moeggenborg
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1105 Sixth St, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Moeggenborg graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1528467669
  • Provider Enumeration Date: 08/14/2014
  • Last Update Date: 07/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507810835
  • Enrollment ID: I20150507000254

Medical Identifiers

Medical identifiers for Shannon Moeggenborg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528467669NPI-NPPES
0B86032OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704265833 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Caberfae Emergency Group Pc408206923242
Northwestern Michigan Emergency Physicians Pc721493392832

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. Shannon Moeggenborg allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Michigan Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073597944
PECOS PAC ID: 7214933928
Enrollment ID: O20061019000359
Entity NameCaberfae Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447932504
PECOS PAC ID: 4082069232
Enrollment ID: O20231009002608
Entity NameHawk Emergency Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073295135
PECOS PAC ID: 6800241050
Enrollment ID: O20231009002612
Entity NameInterlochen Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336821495
PECOS PAC ID: 3577918606
Enrollment ID: O20231010002820

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. Shannon Moeggenborg 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 AddressPractice Location Address
Shannon Moeggenborg, APRN, FNP-C
4624 N Spider Lake Rd,
Traverse City, MI 49696-8440

Ph: (231) 947-0673		Shannon Moeggenborg, APRN, FNP-C
1105 Sixth St,
Traverse City, MI 49684-2349

Ph: (231) 947-0673

Reviews and Comments


Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-3250    
Harriet Sue Barner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684
Phone: 231-932-3000    Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684
Phone: 231-947-1112    
Kellie Ann Herringa, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684
Phone: 231-932-3000    Fax: 231-932-3801
Ms. Karri G Hagan, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686
Phone: 231-421-6921    Fax: 231-421-7852
Matthew Nathan Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Cass St, Traverse City, MI 49684
Phone: 231-941-1155    Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1135 E 8th St, Traverse City, MI 49686
Phone: 231-929-1844    Fax: 231-949-2084

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.