SHANNON MARIE MOONEY CNP
NPI 1508397290
Nurse Practitioner - Gerontology in Saint Paul, MN
About Shannon Marie Mooney Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MARIE MOONEY CNP (NPI 1508397290) is an individual gerontology provider in Saint Paul, Minnesota, licensed in Minnesota (CNP 5045) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Marie Mooney Cnp 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.
Medicare Billing Reassignments
7Medicare enrollment records show Shannon Mooney reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 60 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 21 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 90 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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 Mooney's NPI number?
The NPI number for Shannon Mooney is 1508397290. It was assigned to this individual provider in the NPPES registry on March 23, 2017.
Where is Shannon Mooney located?
Shannon Mooney practices at 45 10th St W, Saint Paul, MN 55102. The listed phone number is (651) 326-3800.
What is Shannon Mooney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Shannon Mooney enrolled in Medicare?
Yes. Shannon Mooney 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.
Which organizations bill Medicare for Shannon Mooney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mooney reassigns Medicare benefits to 7 organizations: Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Health Services (Minneapolis, MN), Lifespark Medical Group, PA (St Louis Park, MN), Spark Medical Providers PA (St Louis Park, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Mooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shannon Mooney affiliated with any hospitals?
According to CMS data, Shannon Mooney is affiliated with Abbott Northwestern Hospital and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Shannon Mooney was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shannon Marie Mooney, CNP · NPI 1508397290
Gerontology physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2017.
## Identity
- **NPI:** 1508397290 (Entity type: Individual)
- **Enumerated:** March 23, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** CNP 5045 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 45 10TH ST W, Saint Paul, MN 55102-1062
- **Phone:** (651) 326-3800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1275277204, Saint Paul, MN); Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Lifespark Medical Group, PA (NPI 1427551746, St Louis Park, MN); Spark Medical Providers PA (NPI 1760374680, St Louis Park, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1508397290) · Data from the CMS NPPES public registry.