MR. SHAWN THOMAS PLUNKETT ARNP
NPI 1821481045
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, IA
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shawn Plunkett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cedar Falls, IA 50613
- Reassigned Medicare billing, Iowa enrollment
- 8 clinicians in this Medicare group
Johnston, IA 50131
- Reassigned Medicare billing, Iowa enrollment
- 1,506 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 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.
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, IAPhysician 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.
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.
WATERLOO, IA 50703
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.
Which organizations bill Medicare for Shawn Plunkett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Plunkett reassigns Medicare benefits to 2 organizations: Cedar Circle Mental Health And Wellness PC (Cedar Falls, IA) and Iowa Physicians Clinic Medical Foundation (Johnston, IA). 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 Shawn Plunkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Plunkett accept?
Health plans from HealthPartners and Wellmark Health Plan of Iowa, Inc. 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.
# Mr. Shawn Thomas Plunkett, ARNP · NPI 1821481045
Psychiatric/Mental Health physician in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since March 12, 2015.
## Identity
- **NPI:** 1821481045 (Entity type: Individual)
- **Enumerated:** March 12, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G135908 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 W DALE ST STE 101, Waterloo, IA 50703-1901
- **Phone:** (319) 233-3351 · **Fax:** (319) 235-3132
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Cedar Circle Mental Health And Wellness PC (NPI 1811534910, Cedar Falls, IA); Iowa Physicians Clinic Medical Foundation (NPI 1891127502, Johnston, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821481045) · Data from the CMS NPPES public registry.