SHANNON LYNN GULLINGSRUD PA-C
NPI 1326462490
Physician Assistant - Medical in Fargo, ND

Active since February 10, 2014PECOS EnrolledAccepts Medicare Assignment
3000 32ND AVE S, FARGO, ND 58103(701) 364-8000 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Lynn Gullingsrud Pa-c NPPES

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

SHANNON LYNN GULLINGSRUD PA-C (NPI 1326462490) is an individual medical provider in Fargo, North Dakota, licensed in North Dakota (35013) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326462490
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON LYNN GULLINGSRUDCredential: PA-C
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 10, 2014
Last NPPES UpdateAugust 22, 2017
NPI 1326462490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ND · 35013
3000 32ND AVE S, Fargo, ND 58103

Accepted 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 Lynn Gullingsrud Pa-c 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 ID4082992474
PECOS Enrollment IDI20170908001673
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 2

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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
14 services14 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Surgery
3000 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Hospitalist
3000 32ND AVE S
FARGO, ND 58103

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 Gullingsrud's NPI number?

The NPI number for Shannon Gullingsrud is 1326462490. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Shannon Gullingsrud located?

Shannon Gullingsrud practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Shannon Gullingsrud's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Gullingsrud enrolled in Medicare?

Yes. Shannon Gullingsrud 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 Gullingsrud accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Shannon Gullingsrud 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 Gullingsrud affiliated with any hospitals?

According to CMS data, Shannon Gullingsrud is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.

When was this NPI record last updated?

The NPPES record for Shannon Gullingsrud was last updated on August 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.