SHELLY A HANSEN CNNP
NPI 1114983749
Nurse Practitioner - Neonatal, Critical Care in St Paul, MN
About Shelly A Hansen Cnnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY A HANSEN CNNP (NPI 1114983749) is an individual neonatal, critical care provider in St Paul, Minnesota, licensed in Minnesota (R1271278) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelly A Hansen Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Shelly Hansen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
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 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PAUL, MN 55102
ST PAUL, MN 55102
ST PAUL, MN 55102
SAINT PAUL, MN 55102
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 Shelly Hansen's NPI number?
The NPI number for Shelly Hansen is 1114983749. It was assigned to this individual provider in the NPPES registry on April 22, 2006.
Where is Shelly Hansen located?
Shelly Hansen practices at 347 North Smith Ave Childrens Specialty Clinic Nicu, St Paul, MN 55102. The listed phone number is (651) 220-6210.
What is Shelly Hansen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Shelly Hansen enrolled in Medicare?
Yes. Shelly Hansen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shelly Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Hansen reassigns Medicare benefits to 7 organizations: Allina Health System (St Paul, MN), Fairview Clinics (Saint Paul, MN), Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Hansen accept?
Health plans from Sanford Health Plan list Shelly Hansen 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.
When was this NPI record last updated?
The NPPES record for Shelly Hansen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Shelly A Hansen, CNNP · NPI 1114983749
Neonatal, Critical Care physician in St Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 22, 2006.
## Identity
- **NPI:** 1114983749 (Entity type: Individual)
- **Enumerated:** April 22, 2006
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** R1271278 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 347 NORTH SMITH AVE, CHILDRENS SPECIALTY CLINIC NICU, St Paul, MN 55102
- **Phone:** (651) 220-6210 · **Fax:** (651) 220-7777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1053617795, St Paul, MN); Fairview Clinics (NPI 1396552147, Saint Paul, MN); Fairview Express Care (NPI 1275277204, Saint Paul, MN); Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1114983749) · Data from the CMS NPPES public registry.