MRS. SHANNA JAY DIERKER FNP-BC
NPI 1558728337
Nurse Practitioner - Family in Appleton, WI
About Mrs. Shanna Jay Dierker Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNA JAY DIERKER FNP-BC (NPI 1558728337) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (15817) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mrs. Shanna Jay Dierker Fnp-bc 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
3Medicare enrollment records show Shanna Dierker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Kahoka, MO 63445
- Reassigned Medicare billing, Missouri enrollment
- 24 clinicians in this Medicare group
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 363 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
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.
Blessing Hospital
Acute Care Hospitals · Quincy, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
APPLETON, WI 54913
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 Shanna Dierker's NPI number?
The NPI number for Shanna Dierker is 1558728337. It was assigned to this individual provider in the NPPES registry on January 25, 2016.
Where is Shanna Dierker located?
Shanna Dierker practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 702-6371.
What is Shanna Dierker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shanna Dierker enrolled in Medicare?
Yes. Shanna Dierker 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 Shanna Dierker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Dierker reassigns Medicare benefits to 3 organizations: Thedacare, Incorporated (Menasha, WI), Blessing Corporate Services, Inc (Kahoka, MO) and Blessing Hospital (Quincy, IL). 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 Shanna Dierker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanna Dierker accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Shanna Dierker 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 Shanna Dierker affiliated with any hospitals?
According to CMS data, Shanna Dierker is affiliated with Blessing Hospital.
When was this NPI record last updated?
The NPPES record for Shanna Dierker was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mrs. Shanna Jay Dierker, FNP-BC · NPI 1558728337
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since January 25, 2016.
## Identity
- **NPI:** 1558728337 (Entity type: Individual)
- **Enumerated:** January 25, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15817 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 N GATEWAY DR, Appleton, WI 54913-7863
- **Phone:** (920) 702-6371
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1306959515, Menasha, WI); Blessing Corporate Services, Inc (NPI 1245427608, Kahoka, MO); Blessing Hospital (NPI 1114471737, Quincy, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1558728337) · Data from the CMS NPPES public registry.