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SHADRIN K CONSTANCE
NPI 1609632223
Nurse Practitioner - Family in Excelsior, MN

Active since February 21, 2024PECOS EnrolledAccepts Medicare Assignment
464 2ND ST STE 204, EXCELSIOR, MN 55331(612) 787-8408(612) 567-8935 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, May 16, 2025 (2 updates tracked since 2025).

About Shadrin K Constance NPPES

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

SHADRIN K CONSTANCE (NPI 1609632223) is an individual family provider in Excelsior, Minnesota, licensed in Minnesota (12211) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609632223
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHADRIN K CONSTANCE
Location Address464 2ND ST STE 204Excelsior, MN 55331-2015
Mailing Address464 2nd St Ste 204Excelsior, MN 55331-2015 · (612) 787-8408
Phone(612) 787-8408
Fax(612) 567-8935
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2024
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1609632223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 12211
Also ListedRegistered NurseTaxonomy 163W00000X · License 238554-5 (MN)
464 2ND ST STE 204, Excelsior, MN 55331
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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

Shadrin K Constance 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 ID1951823657
PECOS Enrollment IDI20250324000400
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55331 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.

Other Providers at the Same Location NPPES 7

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

REHABILITATION MEDICINE ASSOCIATES, LLC
Physical Medicine & Rehabilitation
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (312) 262-6434
MAGGIE HYSJULIEN CHRIST CNP
Nurse Practitioner (Gerontology)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408
IRENE ENJEMA EKOBENA NP
Nurse Practitioner (Gerontology)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408
DR. YUVEN SABASTIAN LUKONG DNP
Nurse Practitioner (Family)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408
DR. SENAYET GOITOM DNP
Nurse Practitioner
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408
VALETTA JOHNSON MASSAQUOI MSN, APRN, FNP-BC
Nurse Practitioner (Family)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408
KARI SASS BAKKE
Nurse Practitioner
464 2ND ST STE 204
EXCELSIOR, MN 55331
Hennepin County (612) 787-8408

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 Shadrin Constance's NPI number?

The NPI number for Shadrin Constance is 1609632223. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Shadrin Constance located?

Shadrin Constance practices at 464 2nd St Ste 204, Excelsior, MN 55331. The listed phone number is (612) 787-8408.

What is Shadrin Constance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shadrin Constance enrolled in Medicare?

Yes. Shadrin Constance 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 Shadrin Constance accept?

Health plans from Medica list Shadrin Constance 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.

When was this NPI record last updated?

The NPPES record for Shadrin Constance was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.