Shanon Dione Bennett, PA-C
NPI 1013979079ActiveIndividual· Physician Assistant· Waterloo, IA
Physician Assistant (PA-C) with Iowa Physicians Clinic Medical Foundation, practicing in Waterloo, Iowa. 261 Medicare patients in 2024, $15,133 paid; nearly all of their 243 Part D prescriptions were generic (95%). Lists Allen Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013979079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 5, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 001016 | IA |
| Physician Assistant, Medical | 363AM0700X | 001000136 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 261 |
|---|---|
| Services billed | 401 across 25 procedure codes |
| Paid by Medicare | $15,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 243 · 245 30-day fills |
|---|---|
| Patients | 191 |
| Total drug cost | $1,574 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Iowa Physicians Clinic Medical FoundationDes Moines, IA · 1,246 clinicians
Hospital affiliations
- Allen HospitalWaterloo, IA
- Waverly Health CenterWaverly, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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