MRS. SHANNON O'GARA CNP
NPI 1093362659
Nurse Practitioner - Adult Health in St Louis Park, MN

Q: What is Shannon O'gara's NPI number?

The NPI number for Shannon O'gara is 1093362659. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Q: What is Shannon O'gara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon O'gara was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 19, 2019PECOS Enrolled

5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416(952) 345-3213 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2023, Jan 12, 2021, Aug 19, 2019 (3 updates tracked since 2019).

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About Mrs. Shannon O'gara Cnp NPPES

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

MRS. SHANNON O'GARA CNP (NPI 1093362659) is an individual adult health provider in St Louis Park, Minnesota, licensed in Minnesota (6744) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093362659

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. SHANNON O'GARACredential: CNP

Location Address5320 W 23RD ST STE 130St Louis Park, MN 55416-1670

Mailing Address5320 W 23rd St Ste 130St Louis Park, MN 55416-1670 · (952) 345-3213

Phone(952) 345-3213

Sole ProprietorNo

Enumeration DateAugust 19, 2019

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1093362659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · 6744

Also ListedNurse PractitionerTaxonomy 363L00000X · License 6744 (MN)

5320 W 23RD ST STE 130, St Louis Park, MN 55416

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon O'gara Cnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon O'gara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespark Medical Group, PA

Same address

Geriatric Medicine

5320 W 23RD ST STE 130
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
60 clinicians in this Medicare group

NPI 1427551746 (952) 345-8770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

93%609 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%116 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%357 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 116 patients

0%116 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 115 patients

Patients totalRate: 9% · 117 patients

0%117 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

AKHSA SIMONOVICH FNP

Nurse Practitioner (Family)