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SHANNA RACHELLE VIDOR M.D.
NPI 1215229729
Family Medicine in Nett Lake, MN

Active since May 03, 2011PECOS EnrolledAccepts Medicare Assignment
5219 ST JOHN DRIVE, NETT LAKE, MN 55772(218) 757-3295 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2020, Jun 17, 2016 (2 updates tracked since 2016).

About Shanna Rachelle Vidor M.d. NPPES

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

SHANNA RACHELLE VIDOR M.D. (NPI 1215229729) is an individual family medicine provider in Nett Lake, Minnesota, licensed in Minnesota (55689) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2011).

NPPES Registry Identity

NPI1215229729
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANNA RACHELLE VIDORCredential: M.D.
Location Address5219 ST JOHN DRIVENett Lake, MN 55772-8232
Mailing Address5219 St John DriveNett Lake, MN 55772-8232 · (218) 757-3295
Phone(218) 757-3295
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2011
Enumeration DateMay 3, 2011
Last NPPES UpdateJune 18, 20202 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
✔ NPI 1215229729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 55689
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5219 ST JOHN DRIVE, Nett Lake, MN 55772
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Other Names 1

Former Name (1)Shanna Rachelle Landgren

Other Identifiers 4

Other1215229729MN · Bcbs
Other1215229729Medica
OtherP01105126MN · Railroad Medicare
Medicaid1215229729MN

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 and accepts Medicare assignment

Shanna Rachelle Vidor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830349380
PECOS Enrollment IDI20121018000799
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services22 patients
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.
52 services23 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
34 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Cook Hospital

Critical Access Hospitals · Cook, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241312
Location10 SE Fifth StCook, MN 55723 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55772 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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$215.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW THOMAS JONES DDS
Dentist (General Practice)
5219 ST JOHN DRIVE
NETT LAKE, MN 55772
Koochiching County (218) 757-3295

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 Shanna Vidor's NPI number?

The NPI number for Shanna Vidor is 1215229729. It was assigned to this individual provider in the NPPES registry on May 3, 2011. The provider is also known as Shanna Rachelle Landgren.

Where is Shanna Vidor located?

Shanna Vidor practices at 5219 St John Drive, Nett Lake, MN 55772. The listed phone number is (218) 757-3295.

What is Shanna Vidor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shanna Vidor enrolled in Medicare?

Yes. Shanna Vidor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shanna Vidor accept?

Health plans from Medica list Shanna Vidor 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.

Is Shanna Vidor affiliated with any hospitals?

According to CMS data, Shanna Vidor is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Virginia and Cook Hospital.

When was this NPI record last updated?

The NPPES record for Shanna Vidor was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.