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

SHANNON JEAN ROTH APRN, CNP
NPI 1144208976
Nurse Practitioner - Family in Duluth, MN

Active since January 03, 2006PECOS Enrolled
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Jean Roth Aprn, Cnp NPPES

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

SHANNON JEAN ROTH APRN, CNP (NPI 1144208976) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (3280) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144208976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON JEAN ROTHCredential: APRN, CNP
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 East Third Street, Mcl2credDuluth, MN 55805-1951 · (218) 786-3146
Phone(218) 786-8364
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateOctober 24, 2018
✔ NPI 1144208976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 3280
Also ListedNurse PractitionerTaxonomy 363L00000X · License R32669 (ND), R1433638-5 (MN)
400 E 3RD ST, Duluth, MN 55805
Open in Google Maps ↗

Other Identifiers 2

Medicaid408164100MN
Medicaid19873ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Jean Roth Aprn, 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.

Areas of Expertise CMS Part B claims

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.

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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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.

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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
GINA MARIE SLIPKA-MARINOS
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Shannon Roth's NPI number?

The NPI number for Shannon Roth is 1144208976. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Shannon Roth located?

Shannon Roth practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Shannon Roth's specialty?

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

Is Shannon Roth enrolled in Medicare?

Yes. Shannon Roth is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Roth accept?

Health plans from Medica list Shannon Roth 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 Shannon Roth was last updated on October 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.