1. Home
  2. Directory
  3. Minnesota
  4. Shakopee
  5. Nurse Practitioner
  6. NPI Profile

MANISHA DHARMESH SHAH NURSE PRACTITIONER
NPI 1093361875
Nurse Practitioner - Primary Care in Shakopee, MN

Active since August 16, 2019PECOS Enrolled
2008 WILHELM COURT, SHAKOPEE, MN 55379(952) 457-4502 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2023, Mar 3, 2020, Aug 16, 2019 (3 updates tracked since 2019).

About Manisha Dharmesh Shah Nurse Practitioner NPPES

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

MANISHA DHARMESH SHAH NURSE PRACTITIONER (NPI 1093361875) is an individual primary care provider in Shakopee, Minnesota, licensed in Minnesota (6828) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093361875
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMANISHA DHARMESH SHAHCredential: NURSE PRACTITIONER
Location Address2008 WILHELM COURTShakopee, MN 55379
Mailing Address2008 Wilhelm CourtShakopee, MN 55379 · (952) 457-4502
Phone(952) 457-4502
Sole ProprietorNo
Enumeration DateAugust 16, 2019
Last NPPES UpdateJune 26, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1093361875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MN · 6828
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 6828 (MN)
2008 WILHELM COURT, Shakopee, MN 55379
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manisha Dharmesh Shah Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
3 suppliers14 claims14 services$42.96 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Manisha Shah's NPI number?

The NPI number for Manisha Shah is 1093361875. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Manisha Shah located?

Manisha Shah practices at 2008 Wilhelm Court, Shakopee, MN 55379. The listed phone number is (952) 457-4502.

What is Manisha Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Manisha Shah enrolled in Medicare?

Yes. Manisha Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manisha Shah was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.