Mrs Shanna Jay Dierker, FNP-BC in Quincy, IL - Medicare Nurse Practitioner

Mrs Shanna Jay Dierker, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Quincy, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blessing Hospital and her current practice location is 927 Broadway St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 224-6423.

Mrs Shanna Jay Dierker is licensed to practice in Illinois (license number 209-014331) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558728337.

Contact Information

	Mrs Shanna Jay Dierker, FNP-BC
	927 Broadway St, Quincy, IL 62301-2719
	(217) 224-6423
	(217) 221-1344

Map and Direction

Provider's Profile

Full Name	Mrs Shanna Jay Dierker
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	927 Broadway St, Quincy, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shanna Jay Dierker graduated from nursing school in 2015

NPI Data:

NPI Number: 1558728337
Provider Enumeration Date: 01/25/2016
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6406154608
Enrollment ID: I20160927002680

Medical Identifiers

Medical identifiers for Mrs Shanna Jay Dierker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558728337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041404031 (Illinois)	Secondary
163W00000X	Registered Nurse	2015032867 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	A143402 (Iowa)	Secondary
363LF0000X	Nurse Practitioner - Family	209-014331 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blessing Hospital	Quincy, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blessing Hospital	3072422534	345

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shanna Jay Dierker allows following entities to bill medicare on her behalf.

Entity Name	Blessing Corporate Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851311641 PECOS PAC ID: 5991616138 Enrollment ID: O20050222000479

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shanna Jay Dierker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shanna Jay Dierker, FNP-BC 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-6423	Mrs Shanna Jay Dierker, FNP-BC 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 224-6423

Reviews and Comments

Nurse Practitioner Nurses in Quincy, IL

Glenda Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400
Mrs. Reghnald Ann Westhoff, MSN, RN APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Vermont St, Quincy, IL 62301 Phone: 217-222-8254 Fax: 217-222-4512
Rick Knochel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200
Rebecca Reed, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4800 Maine St, Quincy, IL 62305 Phone: 217-224-6423 Fax: 217-214-5848
Nicole Suzanne Murphy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 N 24th St, Quincy, IL 62301 Phone: 217-214-6300
Erin Bowers, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-6894
Brenda Colleen Blickhan, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St Ste 106, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-277-3974

Mrs Shanna Jay Dierker, FNP-BC - Medicare Nurse Practitioner in Quincy, IL