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SHANNON E PETERSON
NPI 1659982445
Social Worker - Clinical in Des Moines, IA

Active since August 14, 2020PECOS Enrolled
309 COURT AVE STE 241, DES MOINES, IA 50309(515) 901-2974(308) 398-6051 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2022, Jan 17, 2021, Sep 21, 2020 and 2 more (5 updates tracked since 2020).

About Shannon E Peterson NPPES

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

SHANNON E PETERSON (NPI 1659982445) is an individual clinical provider in Des Moines, Iowa, licensed in Iowa (112347) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659982445
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON E PETERSON
Location Address309 COURT AVE STE 241Des Moines, IA 50309-2282
Mailing Address309 Court Ave Ste 241Des Moines, IA 50309-2282 · (515) 901-2974 · Fax (515) 875-4817
Phone(515) 901-2974
Fax(308) 398-6051
Sole ProprietorYes
Enumeration DateAugust 14, 2020
Last NPPES UpdateDecember 14, 20225 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1659982445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 112347
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
309 COURT AVE STE 241, Des Moines, IA 50309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon E Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sampson Family Therapy Services LLC
Same address
Marriage & Family Therapist
309 COURT AVE, SUITE 241
Des Moines, IA 50309
  • Reassigned Medicare billing, Iowa enrollment
  • 19 clinicians in this Medicare group
NPI 1619377595 (515) 875-4816

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50309 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
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DEBORAH SMITH LMFT
Marriage & Family Therapist
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 244-2267
HEATHER MONAGHAN LMHC
Counselor (Mental Health)
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974
AMBER ROBERTS LMFT
Marriage & Family Therapist
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974
COLYN PATRICK BURBANK LISW
Social Worker (Clinical)
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974
RENATA OLSEN
Marriage & Family Therapist
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974
KARISA RUNKEL
Social Worker (Clinical)
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974
AMBER J SAMPSON LMFT
Marriage & Family Therapist
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 875-4816
EMILIE M RUEHS LMHC
Counselor (Mental Health)
309 COURT AVE STE 241
DES MOINES, IA 50309
Polk County (515) 901-2974

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 Peterson's NPI number?

The NPI number for Shannon Peterson is 1659982445. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Shannon Peterson located?

Shannon Peterson practices at 309 Court Ave Ste 241, Des Moines, IA 50309. The listed phone number is (515) 901-2974.

What is Shannon Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Peterson enrolled in Medicare?

Yes. Shannon Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Peterson reassigns Medicare benefits to Sampson Family Therapy Services LLC (Des Moines, IA). The 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 Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Peterson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Shannon Peterson 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.

When was this NPI record last updated?

The NPPES record for Shannon Peterson was last updated on December 14, 2022. 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.