SHADRIN K CONSTANCE
NPI 1609632223
Nurse Practitioner - Family in Excelsior, MN
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Shadrin Constance reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Excelsior, MN 55331
- Reassigned Medicare billing, Minnesota enrollment
- 13 clinicians in this Medicare group
Delano, MN 55328
- Reassigned Medicare billing, Minnesota enrollment
- 43 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Minnesota enrollment
- 10 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.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EXCELSIOR, MN 55331
EXCELSIOR, MN 55331
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.
Which organizations bill Medicare for Shadrin Constance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shadrin Constance reassigns Medicare benefits to 3 organizations: Rehabilitation Medicine Associates, LLC (Excelsior, MN), Integrated Wound Care Minnesota PLLC (Delano, MN) and Applebaum Physiatry PLLC (Oak Brook, IL). 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 Shadrin Constance'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 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 15 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.
# Shadrin K Constance · NPI 1609632223
Family physician in Excelsior, Minnesota. Individual provider, active in the CMS NPPES registry since February 21, 2024.
## Identity
- **NPI:** 1609632223 (Entity type: Individual)
- **Enumerated:** February 21, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12211 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 464 2ND ST STE 204, Excelsior, MN 55331-2015
- **Phone:** (612) 787-8408 · **Fax:** (612) 567-8935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rehabilitation Medicine Associates, LLC (NPI 1093103145, Excelsior, MN); Integrated Wound Care Minnesota PLLC (NPI 1205390457, Delano, MN); Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609632223) · Data from the CMS NPPES public registry.