JORI L SHORE
NPI 1013994532
Nurse Practitioner - Family in Eagan, MN

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
1885 PLAZA DR, PARK NICOLLET CLINIC - EAGAN, EAGAN, MN 55122(952) 993-4001(952) 993-4075 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jori L Shore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORI L SHORE (NPI 1013994532) is an individual family provider in Eagan, Minnesota, licensed in Minnesota (9596) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013994532
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORI L SHORE
Location Address1885 PLAZA DR, PARK NICOLLET CLINIC - EAGANEagan, MN 55122-2612
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728 · (952) 993-7169 · Fax (952) 993-0300
Fax(952) 993-4075
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 27, 2005
Last NPPES UpdateMay 8, 2015
NPI 1013994532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 9596
1885 PLAZA DR, Eagan, MN 55122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jori L Shore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193858082
PECOS Enrollment IDI20100728001213
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
112 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
41 services38 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
35 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Social Worker (Clinical)
1885 PLAZA DR
EAGAN, MN 55122
Obstetrics & Gynecology
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122
Nurse Practitioner (Pediatrics)
1885 PLAZA DR
EAGAN, MN 55122
Physician Assistant
1885 PLAZA DR
EAGAN, MN 55122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jori Shore's NPI number?

The NPI number for Jori Shore is 1013994532. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Jori Shore located?

Jori Shore practices at 1885 Plaza Dr Park Nicollet Clinic - Eagan, Eagan, MN 55122. The listed phone number is (952) 993-4001.

What is Jori Shore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jori Shore enrolled in Medicare?

Yes. Jori Shore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jori Shore accept?

Health plans from HealthPartners list Jori Shore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jori Shore affiliated with any hospitals?

According to CMS data, Jori Shore is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jori Shore was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.