SHANE D NYGARD MD
NPI 1053403485
Family Medicine in Park Rapids, MN
About Shane D Nygard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE D NYGARD MD (NPI 1053403485) is an individual family medicine provider in Park Rapids, Minnesota, licensed in North Dakota (5382) and active in the NPI registry since September 2006. He maintains a secondary practice location in Grand Forks.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shane Nygard's NPI number?
The NPI number for Shane Nygard is 1053403485. It was assigned to this individual provider in the NPPES registry on September 30, 2006.
Where is Shane Nygard located?
Shane Nygard practices at 110 7th St W, Park Rapids, MN 56470. The listed phone number is (218) 699-3121.
What is Shane Nygard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
When was this NPI record last updated?
The NPPES record for Shane Nygard was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shane D Nygard, MD · NPI 1053403485
Family Medicine physician in Park Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since September 30, 2006.
## Identity
- **NPI:** 1053403485 (Entity type: Individual)
- **Enumerated:** September 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5382 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 7TH ST W, Park Rapids, MN 56470-1872
- **Phone:** (218) 699-3121
## Record status
- **NPPES last updated:** February 28, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1053403485) · Data from the CMS NPPES public registry.