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SHANON DIONE BENNETT PA-C
NPI 1013979079
Physician Assistant in Waterloo, IA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
1731 W RIDGEWAY AVE STE 100, WATERLOO, IA 50701(319) 833-5888(319) 833-5891 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanon Dione Bennett Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANON DIONE BENNETT PA-C (NPI 1013979079) is an individual physician assistant in Waterloo, Iowa, licensed in Iowa (001016) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013979079
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANON DIONE BENNETTCredential: PA-C
Location Address1731 W RIDGEWAY AVE STE 100Waterloo, IA 50701-4591
Mailing Address1731 W Ridgeway Ave Ste 100Waterloo, IA 50701-4591 · (319) 833-5888 · Fax (319) 833-5891
Phone(319) 833-5888
Fax(319) 833-5891
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1013979079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 001016
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 001000136 (NC)
1731 W RIDGEWAY AVE STE 100, Waterloo, IA 50701
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Other Names 1

Former Name (1)Shanon Dione Roelfs Pa-c

Other Identifiers 1

Other970024832IA · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanon Dione Bennett Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789630872
PECOS Enrollment IDI20050322000735
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
280 services250 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
51 services46 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENU BANSAL MD
Internal Medicine
1731 W RIDGEWAY AVE STE 100
WATERLOO, IA 50701
Black Hawk County (319) 833-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanon Bennett's NPI number?

The NPI number for Shanon Bennett is 1013979079. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Shanon Dione Roelfs Pa-C.

Where is Shanon Bennett located?

Shanon Bennett practices at 1731 W Ridgeway Ave Ste 100, Waterloo, IA 50701. The listed phone number is (319) 833-5888.

What is Shanon Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shanon Bennett enrolled in Medicare?

Yes. Shanon Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shanon Bennett affiliated with any hospitals?

According to CMS data, Shanon Bennett is affiliated with Allen Hospital and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Shanon Bennett was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.