The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

4 active clinicians are listed under Nurse Practitioner - Gerontology with a practice address in Appleton, WI (146 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-24

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES WI 13535-33

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location February 24, 2026

Registered at 2807 N BALLARD RD, APPLETON, WI 549118701 (Tel: 9205128822)

👤

Provider Name / Credentials Updated February 24, 2026

Recorded as SHANNON LANE, NP

✅

NPI Profile Active August 24, 2023

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 24, 2023

Registered at 1907 AMERICAN DR STE A8, NEENAH, WI 549561236 (Tel: 9205128822)

📍

Business Mailing Address (Initial Record) August 24, 2023

Registered at 108 LAMINE LN, COMBINED LOCKS, WI 541131100

👤

Provider Name / Credentials (Initial Record) August 24, 2023

Recorded as SHANNON ARENDT, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

Nurse Practitioner (license number reported to NPPES: WI 13535-33)

🟢

Initial NPI Registration & Enumeration August 24, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386428811

Entity Type:

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

Enumeration Date: August 24, 2023

Last Update: February 24, 2026

Sole Proprietor: Yes

Update or Correct Profile

Other Nurse Practitioner - Gerontology Specialists in Appleton

Healthcare providers in Appleton

Mailing Address

108 Lamine Ln

Combined Locks, WI 541131100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.