SHAUNA MARIE SEGERDAHL WHNP
NPI 1295504439
Nurse Practitioner - Women's Health in Phoenix, AZ

Q: What is Shauna Segerdahl's NPI number?

The NPI number for Shauna Segerdahl is 1295504439. It was assigned to this individual provider in the NPPES registry on December 29, 2023. The provider is also known as Shauna Marie Verboort.

Q: What is Shauna Segerdahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Shauna Segerdahl was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since December 29, 2023PECOS EnrolledAccepts Medicare Assignment

11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028(503) 522-9119 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shauna Marie Segerdahl Whnp NPPES

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

SHAUNA MARIE SEGERDAHL WHNP (NPI 1295504439) is an individual women's health provider in Phoenix, Arizona, licensed in Oregon (10028861) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295504439

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameSHAUNA MARIE SEGERDAHLCredential: WHNP

Location Address11209 N TATUM BLVD STE 255Phoenix, AZ 85028-6061

Mailing Address11209 N Tatum Blvd Ste 255Phoenix, AZ 85028-6061 · (503) 522-9119

Phone(503) 522-9119

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 29, 2023

Last NPPES UpdateSeptember 3, 2024

NPPES CertifiedSeptember 3, 2024

✔ NPI 1295504439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OR · 10028861

11209 N TATUM BLVD STE 255, Phoenix, AZ 85028

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Other Names 1

Former Name (1)Shauna Marie Verboort

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Shauna Marie Segerdahl Whnp 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 ID2961934799

PECOS Enrollment IDI20241017000812

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

ALLIE KOSENA WHNP-BC

Nurse Practitioner (Women's Health)