Active NPI 1558728337 Individual Practitioner Female Practitioner

Shanna Jay Dierker , FNP-BC

Nurse Practitioner - Family • Appleton, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shanna Dierker, FNP-BC is a certified Nurse Practitioner - Family practicing in Appleton, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Shanna Dierker delivers high-quality medical care to the local community at 3925 N GATEWAY DR.

Shanna Dierker maintains professional affiliations with Blessing Hospital, Thedacare, Incorporated, Thedacare Medical Center - Shawano, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3925 N Gateway Dr

Appleton, WI 549137863

Telephone 9207026371

Associated Practice Facility / Clinic

🏢 Fox Valley Hematology & Oncology, S.c. Facility NPI 1407868334

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +3.8 yrs vs City Avg

City Avg: 7.2 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

148 Specialists

Practicing in Appleton, WI (2833 Statewide)

Telehealth Adoption Rate

7.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dierker (11 Years) 11 Yrs

Appleton Specialty Average (7.2 Years) 7.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$220.86	$71.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	116	$136.99	$55.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	109	104	$21.76	$6.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	47	$202.83	$82.16
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$56.02	$17.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	502	367	$21.76	$6.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	426	282	$202.83	$82.85
99213 Established patient office or other outpatient visit, typically 15 minutes	275	233	$136.99	$56.40
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	163	26	$64.56	$22.41
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	60	60	$56.02	$18.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	41	$273.16	$123.56
94618 Test for exercise-induced lung stress	13	13	$66.70	$18.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$392.54	$156.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	362	280	$130.00	$12.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	221	$277.00	$108.99
99213 Established patient office or other outpatient visit, typically 15 minutes	195	174	$188.00	$76.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	195	174	$54.00	$7.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	148	$277.00	$85.04
99213 Established patient office or other outpatient visit, typically 15 minutes	91	89	$188.00	$57.61
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec	89	20	$119.00	$120.32
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	89	20	$119.00	$22.75
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	79	78	$177.00	$18.48
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	70	23	$119.00	$22.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	39	$374.00	$152.73
93246 Heart rhythm recording of continous external ekg over 8-15 days	34	34	$40.17	$14.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	28	$374.00	$125.18
94618 Test for exercise-induced lung stress	13	13	$168.00	$28.03
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	11	11	$73.95	$22.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	608	427	$130.00	$14.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	584	349	$277.00	$91.14
99213 Established patient office or other outpatient visit, typically 15 minutes	283	235	$188.00	$62.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	151	89	$374.00	$122.12
J1940 Injection, furosemide, up to 20 mg	148	23	$2.00	$0.64
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	79	79	$177.00	$19.20
93297 Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days	57	18	$99.00	$23.67
0296T External EKG recording for more than 48 hours up to 21 days	54	53	$83.00	$23.18
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec	41	16	$99.00	$100.33
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	40	22	$167.00	$32.11
94618 Test for exercise-induced lung stress	35	30	$147.20	$26.26
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	23	23	$38.57	$12.30
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	13	11	$97.62	$18.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$539.00	$176.05
71046 X-ray of chest, 2 views	11	11	$60.78	$20.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	608	457	$130.00	$14.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	515	345	$277.00	$90.06
99213 Established patient office or other outpatient visit, typically 15 minutes	333	275	$188.00	$61.51
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	204	203	$172.00	$18.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	175	115	$374.00	$121.28
0296T External EKG recording for more than 48 hours up to 21 days	29	29	$83.00	$23.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$539.00	$171.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	583	417	$130.00	$13.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	531	352	$277.00	$88.23
99213 Established patient office or other outpatient visit, typically 15 minutes	266	223	$188.00	$59.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	206	140	$374.00	$119.52
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	197	194	$172.00	$18.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$539.00	$157.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	273	$277.00	$87.65
93000 Routine ekg using at least 12 leads including interpretation and report	287	217	$130.00	$13.76
99213 Established patient office or other outpatient visit, typically 15 minutes	207	175	$188.00	$58.79
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	196	194	$156.00	$18.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	176	129	$374.00	$117.96
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	49	31	$235.00	$28.18
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	41	38	$135.00	$18.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$112.00	$35.51
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	22	13	$369.00	$56.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$227.00	$60.42
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	18	13	$186.00	$22.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$539.00	$168.61
G0008 Administration of influenza virus vaccine	13	13	$26.00	$23.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$26.00	$18.65

Medical Specialties & State Licenses

CMS Verified: 2025-02-19

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License WI 15817

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A143402

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209-014331

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MO 2015032867

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041404031

Hospital & Practice Group Affiliations

Blessing Hospital

927 Broadway St, Quincy, IL 623012719

Phone: 2172246423

Thedacare Medical Center - Shawano, Inc.

100 County Rd B, Shawano, WI 541667072

Phone: 7155262111

Thedacare, Incorporated

3925 N Gateway Dr, Appleton, WI 549137863

Phone: 9204548401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Saba Khan , DO

Family Medicine

NPI 1033850821

Doctor of Osteopathic Medicine (D.O.)

Crystal Sommerfeld , APNP

Nurse Practitioner - Family

NPI 1083490239

Advanced Practice Nurse Prescriber

Jenifer Grooms , CRNP, APRN

Nurse Practitioner - Family

NPI 1104178896

Certified Registered Nurse Practitioner, Advanced Practice Registered Nurse

Avery Allard

Nurse Practitioner - Family

NPI 1154057214

Dr. Michelle Schacht , MD

Family Medicine

NPI 1164490629

Doctor of Medicine (M.D.)

Karlee Curtis

Physician Assistant

NPI 1215630959

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2025

Nurse Practitioner (License #A143402 in IA)

📍

Updated Practice Location September 24, 2024

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9207026371)

📍

Updated Business Mailing Address September 24, 2024

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9207026371)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2024

Registered Nurse (License #2015032867 in MO)

📍

Updated Practice Location June 03, 2024

Registered at 4800 MAINE ST, QUINCY, IL 623055875 (Tel: 2172146255)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Nurse Practitioner (License #A143402 in IA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2020

Registered Nurse (License #041404031 in IL)

✅

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2016

Registered at 927 BROADWAY ST, QUINCY, IL 623012719 (Tel: 2172246423)

📍

Updated Business Mailing Address September 07, 2016

Registered at 927 BROADWAY ST, QUINCY, IL 623012719 (Tel: 2172246423)

👤

Provider Name / Credentials Updated September 07, 2016

Recorded as SHANNA DIERKER, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Registered Nurse (License #2015032867 in MO)

🟢

Initial NPI Registration & Enumeration January 25, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558728337

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 25, 2016

Last Update: February 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9207026371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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