SHANNON VANDERKOOI DO
NPI 1225617103
Family Medicine in Sioux Center, IA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
1101 9TH ST SE, SIOUX CENTER, IA 51250(712) 722-1271 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2024, Dec 29, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Shannon Vanderkooi Do NPPES

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

SHANNON VANDERKOOI DO (NPI 1225617103) is an individual family medicine provider in Sioux Center, Iowa, licensed in Iowa (DO-06509) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Sioux Center Health, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2021).

NPPES Registry Identity

NPI1225617103
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNON VANDERKOOICredential: DO
Location Address1101 9TH ST SESioux Center, IA 51250-2501
Mailing Address1101 9th St SeSioux Center, IA 51250-2501 · (712) 722-1271
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1225617103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · DO-06509
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1101 9TH ST SE, Sioux Center, IA 51250

Other Names 1

Former Name (1)Shannon Vander Berg

Accepted Insurance

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

Shannon Vanderkooi Do 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 ID6709282981
PECOS Enrollment IDI20241008002676
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.

Hospital Affiliations CMS Care Compare

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

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51250 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
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
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 20

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

Physician Assistant (Medical)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Nurse Practitioner (Primary Care)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Social Worker (Clinical)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Surgery
1101 9TH ST SE
SIOUX CENTER, IA 51250
Nurse Practitioner (Family)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Family Medicine
1101 9TH ST SE
SIOUX CENTER, IA 51250

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 Shannon Vanderkooi's NPI number?

The NPI number for Shannon Vanderkooi is 1225617103. It was assigned to this individual provider in the NPPES registry on April 6, 2021. The provider is also known as Shannon Vander Berg.

Where is Shannon Vanderkooi located?

Shannon Vanderkooi practices at 1101 9th St SE, Sioux Center, IA 51250. The listed phone number is (712) 722-1271.

What is Shannon Vanderkooi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Vanderkooi enrolled in Medicare?

Yes. Shannon Vanderkooi 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.

What insurance does Shannon Vanderkooi accept?

Health plans from Avera Health Plans and Medica list Shannon Vanderkooi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Vanderkooi affiliated with any hospitals?

According to CMS data, Shannon Vanderkooi is affiliated with Sioux Center Health.

When was this NPI record last updated?

The NPPES record for Shannon Vanderkooi was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.