MR. SHAWN THOMAS PLUNKETT ARNP
NPI 1821481045
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, IA

Q: What is Shawn Plunkett's NPI number?

The NPI number for Shawn Plunkett is 1821481045. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Q: What is Shawn Plunkett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Plunkett was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 12, 2015PECOS EnrolledAccepts Medicare Assignment

146 W DALE ST STE 101, WATERLOO, IA 50703(319) 233-3351(319) 235-3132 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

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About Mr. Shawn Thomas Plunkett Arnp NPPES

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

MR. SHAWN THOMAS PLUNKETT ARNP (NPI 1821481045) is an individual psychiatric/mental health provider in Waterloo, Iowa, licensed in Iowa (G135908) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821481045

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SHAWN THOMAS PLUNKETTCredential: ARNP

Location Address146 W DALE ST STE 101Waterloo, IA 50703-1901

Mailing Address146 W Dale St Ste 101Waterloo, IA 50703-1901 · (319) 233-3351 · Fax (319) 235-3132

Phone(319) 233-3351

Fax(319) 235-3132

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 12, 2015

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1821481045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IA · G135908

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 135908 (IA)

146 W DALE ST STE 101, Waterloo, IA 50703

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Accepted Insurance

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

Mr. Shawn Thomas Plunkett Arnp 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 ID6901175777

PECOS Enrollment IDI20170711000724

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 2

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 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.

59 services17 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

53 services17 patients

Hospital Affiliations CMS Care Compare

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD A AFRIDI MD

Psychiatry & Neurology (Psychiatry)

146 W DALE ST STE 101
WATERLOO, IA 50703

Black Hawk County (319) 233-3351

YANCE A CHILDS LMHC

Counselor (Mental Health)

146 W DALE ST STE 101
WATERLOO, IA 50703

Black Hawk County (319) 233-3351

MERVE AKOVA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

146 W DALE ST STE 101
WATERLOO, IA 50703

Black Hawk County (319) 233-3351

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 Shawn Plunkett's NPI number?

The NPI number for Shawn Plunkett is 1821481045. It was assigned to this individual provider in the NPPES registry on March 12, 2015.

Where is Shawn Plunkett located?

Shawn Plunkett practices at 146 W Dale St Ste 101, Waterloo, IA 50703. The listed phone number is (319) 233-3351.

What is Shawn Plunkett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shawn Plunkett enrolled in Medicare?

Yes. Shawn Plunkett 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 Shawn Plunkett accept?

Health plans from Medica and UnitedHealthcare list Shawn Plunkett 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 Shawn Plunkett affiliated with any hospitals?

According to CMS data, Shawn Plunkett is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Plunkett was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.