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SHANNON ELAINE WAKELEY M.D.
NPI 1942350905
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lincoln, NE

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
3901 PINE LAKE RD STE 410, LINCOLN, NE 68516(402) 483-8700(402) 483-8733 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shannon Elaine Wakeley M.d. NPPES

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

SHANNON ELAINE WAKELEY M.D. (NPI 1942350905) is an individual endocrinology, diabetes & metabolism provider in Lincoln, Nebraska, licensed in Nebraska (25490) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2005).

NPPES Registry Identity

NPI1942350905
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHANNON ELAINE WAKELEYCredential: M.D.
Location Address3901 PINE LAKE RD STE 410Lincoln, NE 68516-5415
Mailing Address3901 Pine Lake Rd Ste 410Lincoln, NE 68516-5415 · (402) 483-8700 · Fax (402) 483-8733
Phone(402) 483-8700
Fax(402) 483-8733
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1942350905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NE · 25490
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3901 PINE LAKE RD STE 410, Lincoln, NE 68516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross and Blue Shield of Nebraska 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 and accepts Medicare assignment

Shannon Elaine Wakeley M.d. 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 ID1153447420
PECOS Enrollment IDI20100923000745
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 Wakeley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bryan Physician Network
4.1 mi
Family Medicine
2222 S 16TH ST, SUITE 400A
Lincoln, NE 68502
  • Reassigned Medicare billing, Nebraska enrollment
  • 214 clinicians in this Medicare group
NPI 1679528798 (402) 483-8590

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 6

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.
190 services131 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
89 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
73 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Howard County Medical Center

Critical Access Hospitals · St Paul, NE
OwnershipVoluntary non-profit - Other
CMS Certification Number281338
LocationP O Box 406, 1113 Sherman StSt Paul, NE 68873 · Howard County
Emergency services Birthing friendly

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281339
Location300 North Columbia AveSeward, NE 68434 · Seward County
Emergency services

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68516 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
14%520 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%803 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
63%636 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%6,260 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%338 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%1,756 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%1,680 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
47%1,131 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%1,756 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,756 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
59%1,756 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
9 suppliers82 claims1,058 services$17.92 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers85 claims2,880 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims20 services$176.64 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers37 claims140 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims19 services$0.95 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers39 claims39 services$306.72 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 12

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

EMILY KATE PLAUTZ PA-C
Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 483-8700
LOIS RELYS LIMHP
Counselor (Mental Health)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 434-2730
JASON DEAN HOWE PA
Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 434-2730
DYLAN OATMAN PA-C
Physician Assistant
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 483-8700
ADDIE PETTIFORD
Registered Nurse (Diabetes Educator)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 483-8700
KATHERINE M DOUD PHD
Psychologist
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 434-2730
MADELINE JONES-RYAN D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 483-8700
KORI SCHAFFER BSN, RN, CDCES
Registered Nurse (Diabetes Educator)
3901 PINE LAKE RD STE 410
LINCOLN, NE 68516
Lancaster County (402) 483-8700

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 Wakeley's NPI number?

The NPI number for Shannon Wakeley is 1942350905. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Shannon Wakeley located?

Shannon Wakeley practices at 3901 Pine Lake Rd Ste 410, Lincoln, NE 68516. The listed phone number is (402) 483-8700.

What is Shannon Wakeley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shannon Wakeley enrolled in Medicare?

Yes. Shannon Wakeley 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 organization bills Medicare for Shannon Wakeley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Wakeley reassigns Medicare benefits to Bryan Physician Network (Lincoln, NE). 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 Wakeley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Wakeley accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company and 1 other insurer list Shannon Wakeley 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 Shannon Wakeley affiliated with any hospitals?

According to CMS data, Shannon Wakeley is affiliated with Bryan Medical Center, Howard County Medical Center, Memorial Health Care Systems and Crete Area Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Wakeley was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.