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SHANNON NICOLE PETERSON
NPI 1215690177
Physician Assistant in Robbinsdale, MN

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 520-5200 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Mar 10, 2023, Oct 18, 2021 (3 updates tracked since 2021).

About Shannon Nicole Peterson NPPES

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

SHANNON NICOLE PETERSON (NPI 1215690177) is an individual physician assistant in Robbinsdale, Minnesota, licensed in Minnesota (14422) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215690177
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON NICOLE PETERSON
Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422
Mailing Address3300 Oakdale Ave NRobbinsdale, MN 55422 · (763) 520-5200
Phone(763) 520-5200
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2021
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1215690177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 14422
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3300 OAKDALE AVE N, Robbinsdale, MN 55422
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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

Shannon Nicole Peterson 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 ID2264807932
PECOS Enrollment IDI20230411001424
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
48 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

MICHAELA ANNE MCLAIN FNP
Nurse Practitioner (Family)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5110
ALYSSA WARDEN DO
Physical Medicine & Rehabilitation
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5200
LAURA WRIGHTWOOD APRN, CNP
Nurse Practitioner (Gerontology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5200
WILLIAM NATHAN LISBERG MD
Radiology (Diagnostic Radiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 559-2171
DR. LAURA L SCHMITZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
Hennepin County (763) 581-4150
DR. MARY DELLING MCLAURIN MD
Internal Medicine (Cardiovascular Disease)
3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-2001
DR. ALOK MAHESHWARI MD
Internal Medicine (Interventional Cardiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 581-5400
MS. TINA MARIE ALLENBURG NURSE PRACTITIONER
Nurse Practitioner
3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-2000

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 Peterson's NPI number?

The NPI number for Shannon Peterson is 1215690177. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Shannon Peterson located?

Shannon Peterson practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 520-5200.

What is Shannon Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Peterson enrolled in Medicare?

Yes. Shannon Peterson 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 Shannon Peterson accept?

Health plans from Medica list Shannon Peterson 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 Shannon Peterson affiliated with any hospitals?

According to CMS data, Shannon Peterson is affiliated with North Memorial Health Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Peterson was last updated on July 12, 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.