Deactivated NPI 1881001899 Deactivated / Inactive NPI Female Practitioner

Shannon Braslavsky , AGPNP-BC

Nurse Practitioner • Cedar Rapids, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shannon Braslavsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2014

NPI Deactivation Date January 07, 2025

Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Shannon Braslavsky, AGPNP-BC was a registered Nurse Practitioner practicing in Cedar Rapids, IA. Throughout an active medical career spanning 11 years, Shannon Braslavsky provided care at the practice location at 3555 STONE CREEK CIR SW until profile deactivation on 2025-01-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, automated urinalysis test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3555 Stone Creek Cir Sw

Cedar Rapids, IA 524041240

Telephone 3196938800

Fax 3192082273

Associated Practice Facility / Clinic

🏢 Iowa Wellness Clinic Pllc Facility NPI 1811748049

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cedar Rapids, IA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.1 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

70 Specialists

Practicing in Cedar Rapids, IA (1307 Statewide)

Telehealth Adoption Rate

8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$119.78	$61.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$269.81	$103.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	244	138	$110.00	$53.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$230.00	$90.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$160.00	$85.64
81003 Automated urinalysis test	11	11	$30.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	166	$110.00	$57.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	43	$160.00	$85.66
99336 Established patient assisted living visit, typically 40 minutes	47	36	$150.00	$108.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$230.00	$90.74
81003 Automated urinalysis test	29	24	$30.00	$2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$180.00	$84.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg	11	11	$45.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$55.00	$12.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	389	197	$110.00	$56.70
99336 Established patient assisted living visit, typically 40 minutes	73	44	$150.00	$108.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	40	$160.00	$83.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	27	$55.00	$15.39
99326 New patient assisted living visit, typically 45 minutes	27	27	$200.00	$112.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg	27	25	$45.00	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$230.00	$91.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$110.00	$56.95

Medical Specialties & State Licenses

CMS Verified: 2025-01-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR A004140

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License AR A004140

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License AR A004140

Definition to come...

Secondary Practice Locations

408 Office Park Dr

Bryant, AR 720227534

Phone: 5018472835

4200 Regent St Ste 200

Columbus, OH 432196229

Phone: 8775812210

Career & Practice History Timeline

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

15 Historical Events

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Updated Practice Location January 29, 2025

Registered at 3555 STONE CREEK CIR SW, CEDAR RAPIDS, IA 524041240 (Tel: 3196938800)

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Updated Business Mailing Address January 29, 2025

Registered at 430 B AVE NE, WALFORD, IA 523518018 (Tel: 5019439070)

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Provider Name / Credentials Updated January 29, 2025

Recorded as SHANNON BRASLAVSKY, AGPNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Nurse Practitioner (License #A004140 in AR)

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NPI Profile Deactivated January 07, 2025

Record deactivated on January 07, 2025

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Updated Practice Location March 26, 2024

Registered at 4200 REGENT ST STE 200, COLUMBUS, OH 432196229 (Tel: 8775812210)

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Updated Business Mailing Address March 26, 2024

Registered at 430 B AVE NE, WALFORD, IA 523518018 (Tel: 5019439070)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2024

Nurse Practitioner (License #A004140 in AR)

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Updated Practice Location May 05, 2020

Registered at 408 OFFICE PARK DR, BRYANT, AR 720227534 (Tel: 5018472835)

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NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2014

Registered at 610 W COMMERCE DR, BRYANT, AR 720227514 (Tel: 5018472835)

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Updated Business Mailing Address July 22, 2014

Registered at 610 W COMMERCE DR, BRYANT, AR 720227514 (Tel: 5018472835)

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Provider Name / Credentials Updated July 22, 2014

Recorded as SHANNON BRASLAVSKY, AGPNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Nurse Practitioner (License #A004140 in AR)

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Initial NPI Registration & Enumeration July 22, 2014

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: 1881001899

Entity Type:

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

Enumeration Date: July 22, 2014

Last Update: January 29, 2025

Deactivation Date: January 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

430 B Ave Ne

Walford, IA 523518018

Phone: 5019439070

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.