SHANNON MARIE MOONEY CNP
NPI 1508397290
Nurse Practitioner - Gerontology in Saint Paul, MN

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
45 10TH ST W, SAINT PAUL, MN 55102(651) 326-3800 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Mar 23, 2017 (2 updates tracked since 2017).

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

NPI1508397290
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON MARIE MOONEYCredential: CNP
Location Address45 10TH ST WSaint Paul, MN 55102-1062
Mailing Address396 Linda AveLino Lakes, MN 55014-6404 · (612) 770-4296
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 23, 2017
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
NPI 1508397290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · CNP 5045
45 10TH ST W, Saint Paul, MN 55102

Secondary Practice Location 1

Location 13433 Broadway St NE Ste 300Minneapolis, MN 55413-1761 · Phone (763) 587-7737

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 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.

PECOS PAC ID3173891454
PECOS Enrollment IDI20170608001939
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 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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
141 services51 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
45 services28 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
21 services15 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
19 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services14 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
17 services17 patients

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, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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

Controlling High Blood Pressure
68%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%1,275 patients3/55-star benchmark: 100%
e-Prescribing
100%274 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%213 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%63 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%34 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%393 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 142 patients
0%142 patients
Provide Patients Electronic Access to Their Health Information
1%151 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 210 patients
Patients totalRate: 8% · 216 patients
5%216 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatric Unit
45 10TH ST W
SAINT PAUL, MN 55102
Dietitian, Registered
45 10TH ST W
SAINT PAUL, MN 55102
Counselor (Mental Health)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Psychiatry & Neurology (Psychiatry)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102

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.

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 6 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.