Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Moeggenborg, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1528467669

Shannon Moeggenborg, APRN, FNP-C is a Nurse Practitioner in Traverse City, Michigan. Qualified in 2014, 12 years ago. Practices with Interlochen Emergency Group PC, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704265833 (MI)

Record details

NPI number1528467669
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedAugust 14, 2014
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Interlochen Emergency Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Traverse City