SHANNON MOEGGENBORG APRN, FNP-C
NPI 1528467669
Nurse Practitioner - Family in Traverse City, MI
About Shannon Moeggenborg Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MOEGGENBORG APRN, FNP-C (NPI 1528467669) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704265833) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 Moeggenborg Aprn, Fnp-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.
Medicare Billing Reassignments
4Medicare enrollment records show Shannon Moeggenborg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Interlochen Emergency Group PC
- 60 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Caberfae Emergency Group PC
- 92 clinicians in this Medicare group
Charlevoix, MI 49720
- Reassigned Medicare billing, Michigan enrollment
- 97 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Moeggenborg's NPI number?
The NPI number for Shannon Moeggenborg is 1528467669. It was assigned to this individual provider in the NPPES registry on August 14, 2014.
Where is Shannon Moeggenborg located?
Shannon Moeggenborg practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 947-0673.
What is Shannon Moeggenborg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Moeggenborg enrolled in Medicare?
Yes. Shannon Moeggenborg 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 Moeggenborg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Moeggenborg reassigns Medicare benefits to 4 organizations: Interlochen Emergency Group, P.C. (Traverse City, MI), Northwestern Michigan Emergency Physicians PC (Traverse City, MI), Caberfae Emergency Group, P.C. (Cadillac, MI) and Hawk Emergency Group, P.C. (Charlevoix, MI). 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 Moeggenborg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shannon Moeggenborg affiliated with any hospitals?
According to CMS data, Shannon Moeggenborg is affiliated with Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Shannon Moeggenborg was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Moeggenborg, APRN, FNP-C · NPI 1528467669
Family physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since August 14, 2014.
## Identity
- **NPI:** 1528467669 (Entity type: Individual)
- **Enumerated:** August 14, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704265833 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 SIXTH ST, Traverse City, MI 49684-2349
- **Phone:** (231) 947-0673 · **Fax:** (801) 740-2847
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Interlochen Emergency Group, P.C. (NPI 1336821495, Traverse City, MI); Northwestern Michigan Emergency Physicians PC (NPI 1073597944, Traverse City, MI); Caberfae Emergency Group, P.C. (NPI 1447932504, Cadillac, MI); Hawk Emergency Group, P.C. (NPI 1073295135, Charlevoix, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 26, 2023
- **Other identifiers:** Other 0B86032 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1528467669) · Data from the CMS NPPES public registry.