MRS. SHANNA JAY DIERKER FNP-BC NPI 1558728337

NPI Information

  • NPI: 1558728337
  • Provider Name: MRS. SHANNA JAY DIERKER, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3925 N GATEWAY DR
    APPLETON, WI
    ZIP 54913
  • Phone: (920) 702-6371

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NPI Details

MRS. Shanna Jay Dierker, FNP-BC is a family nurse practitioner in Appleton, WI with 11 years of experience. MRS. Shanna Jay Dierker, FNP-BC NPI is 1558728337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3925 N GATEWAY DR
APPLETON, WI
ZIP 54913-863
Phone: (920) 702-6371

The NPI 1558728337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days (HCPCS:93297)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Test for exercise-induced lung stress (HCPCS:94618)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 1/25/2016 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA143402IOWANo
2363LF0000XNurse PractitionerFamily209-014331ILLINOISNo
3363LF0000XNurse PractitionerFamily15817WISCONSINYes
4163W00000XRegistered Nurse2015032867MISSOURINo
5163W00000XRegistered Nurse041404031ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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