SHANNON JEAN ROTH APRN, CNP
NPI 1144208976
Nurse Practitioner - Family in Duluth, MN
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
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Jean Roth Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Shannon Roth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Virginia, MN 55792
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 90 clinicians in this Medicare group
Hartford, WI 53027
- Reassigned Medicare billing, Wisconsin enrollment
- 65 clinicians in this Medicare group
Hartford, WI 53027
- Reassigned Medicare billing, Wisconsin enrollment
- 71 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.
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.
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.
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.
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.
Which organizations bill Medicare for Shannon Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Roth reassigns Medicare benefits to 5 organizations: Essentia Health Virginia, LLC (Virginia, MN), Curana Health Of Minnesota PLLC (Minneapolis, MN), Ch Specialty Services Mn PC (Minneapolis, MN), Ch Specialty Services Wi Sc (Hartford, WI) and Curana Health Of Wisconsin Inc (Hartford, WI). 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 Shannon Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Roth was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shannon Jean Roth, APRN, CNP · NPI 1144208976
Family physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since January 3, 2006.
## Identity
- **NPI:** 1144208976 (Entity type: Individual)
- **Enumerated:** January 3, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3280 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Essentia Health Virginia, LLC (NPI 1083617120, Virginia, MN); Curana Health Of Minnesota PLLC (NPI 1083365084, Minneapolis, MN); Ch Specialty Services Mn PC (NPI 1841999158, Minneapolis, MN); Ch Specialty Services Wi Sc (NPI 1063115319, Hartford, WI); Curana Health Of Wisconsin Inc (NPI 1699407890, Hartford, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2018
- **Other identifiers:** Medicaid 408164100 (MN); Medicaid 19873 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1144208976) · Data from the CMS NPPES public registry.