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NPI · 1891779567 · NPPES-sourced

Ms. Shannon Kelly-Schug G.N.P.

ActiveGerontology Nurse Practitioner
NPI Number
1891779567
Type 1 · Individual
Taxonomy Code
363LG0600X
Contact
(952) 993-5041
License MN · R120875-9
Last Updated
About 13 years ago (Feb 2013)
Enumerated 2005-12-06
Primary practice addressMN · 55416-2527
3850 Park Nicollet BlvdSt Louis Park, MN 55416-2527
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About this NPIWhat this record shows.

NPI 1891779567 is registered to Ms. Shannon Kelly-Schug G.N.P., a Gerontology Nurse Practitioner practising at 3850 Park Nicollet Blvd in St Louis Park, Minnesota. Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ms. Shannon Kelly-Schug G.N.P. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-12-06
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ms. Shannon Kelly-Schug G.N.P. accepts. To confirm in-network status with your specific health plan, contact Ms. Shannon Kelly-Schug G.N.P. directly at (952) 993-5041.

Frequently asked

Yes. NPI 1891779567 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 993-5041.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ms. Shannon Kelly-Schug G.N.P. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LG0600X
Last updated2013-02
Enumerated2005-12-06
StatusActive
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3 records · same addressOther providers at this location.

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Same specialtyOther Gerontology Nurse Practitioner providers in Minnesota.

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