SHANNON DEASEY PEARSON CRNA
NPI 1265306476
Registered Nurse in Minneapolis, MN

Active since October 01, 2025PECOS Enrolled
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Deasey Pearson Crna NPPES

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

SHANNON DEASEY PEARSON CRNA (NPI 1265306476) is an individual registered nurse in Minneapolis, Minnesota, licensed in Minnesota (2463108) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265306476
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSHANNON DEASEY PEARSONCredential: CRNA
Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518
Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1265306476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MN · 2463108
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2525 CHICAGO AVE, Minneapolis, MN 55404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Deasey Pearson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486140936
PECOS Enrollment IDI20260105001868
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Pearson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
2525 CHICAGO AVE S
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
Anesthesiology
6050 CLEARWATER DRIVE, CHILDRENS MINNETONKA
Minnetonka, MN 55343
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 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.

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.

Social Worker (Clinical)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Neonatal)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics (Pediatric Infectious Diseases)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Family)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics, Critical Care)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Anesthetist, Certified Registered
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404

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 Pearson's NPI number?

The NPI number for Shannon Pearson is 1265306476. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Shannon Pearson located?

Shannon Pearson practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-6000.

What is Shannon Pearson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Shannon Pearson enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Pearson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Pearson reassigns Medicare benefits to 2 organizations: Childrens Health Care (Minneapolis, MN) and Childrens Health Care Services Inc (Minnetonka, MN). 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 Pearson'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 Pearson was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.