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SHANNA RUTH ELLIOTT DO
NPI 1629458302
Family Medicine in Waterloo, IA

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
2055 KIMBALL AVE, SUITE 101, WATERLOO, IA 50702(319) 272-2112(319) 272-2107 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanna Ruth Elliott Do NPPES

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

SHANNA RUTH ELLIOTT DO (NPI 1629458302) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-10280) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629458302
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNA RUTH ELLIOTTCredential: DO
Location Address2055 KIMBALL AVE, SUITE 101Waterloo, IA 50702
Mailing Address2055 Kimball Ave, Suite 101Waterloo, IA 50702 · (319) 272-2112 · Fax (319) 272-2107
Phone(319) 272-2112
Fax(319) 272-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 8, 2015
✔ NPI 1629458302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-10280
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2055 KIMBALL AVE, Waterloo, IA 50702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Shanna Ruth Elliott Do 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 ID42526360
PECOS Enrollment IDI20160811000350
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims50 services$6.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$93.69 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims27 services$36.94 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$20.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers21 claims116 services$2.48 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$66.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROBERT L FRIEDMAN M.D.
Family Medicine
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
MANPREET SINGH GILL M.D.
Family Medicine
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
CORTNEY CATHERINE CORSON ARNP
Nurse Practitioner (Family)
2055 KIMBALL AVE, 340
WATERLOO, IA 50702
Black Hawk County (319) 272-2774
DR. PATRICIA C CONNELL M.D.
Family Medicine
2055 KIMBALL AVE, SUITE 100
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
NICOLE ELIZABETH GONZALEZ MD
Family Medicine
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
DEBRA A FLAMMANG-ROPER LMSW
Counselor (Mental Health)
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
ROBERT M WELSHONS P.A.C.
Physician Assistant
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
ERIC ROYCHOWDHURY MD
Family Medicine
2055 KIMBALL AVE, SUITE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

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 Elliott's NPI number?

The NPI number for Shanna Elliott is 1629458302. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Shanna Elliott located?

Shanna Elliott practices at 2055 Kimball Ave Suite 101, Waterloo, IA 50702. The listed phone number is (319) 272-2112.

What is Shanna Elliott's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shanna Elliott enrolled in Medicare?

Yes. Shanna Elliott 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.

What insurance does Shanna Elliott accept?

Health plans from Medica list Shanna Elliott 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 Elliott affiliated with any hospitals?

According to CMS data, Shanna Elliott is affiliated with St Lukes Hospital and Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Shanna Elliott was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.