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SHANNON M BEASLEY CPNP, PHN, CDE
NPI 1659409563
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since March 01, 2007PECOS Enrolled
516 DELAWARE ST. SE, PWB ROOM 7-111, MMC 504, MINNEAPOLIS, MN 55455(612) 626-5609(612) 626-5206 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon M Beasley Cpnp, Phn, Cde NPPES

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

SHANNON M BEASLEY CPNP, PHN, CDE (NPI 1659409563) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (3938) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659409563
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHANNON M BEASLEYCredential: CPNP, PHN, CDE
Location Address516 DELAWARE ST. SE, PWB ROOM 7-111, MMC 504Minneapolis, MN 55455
Mailing Address516 Delaware St. Se, Pwb Room 7-111, Mmc 504Minneapolis, MN 55455 · (612) 626-5609 · Fax (612) 626-5206
Phone(612) 626-5609
Fax(612) 626-5206
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateDecember 4, 2019
✔ NPI 1659409563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · 3938
516 DELAWARE ST. SE, Minneapolis, MN 55455
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon M Beasley Cpnp, Phn, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55455 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

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

DR. SAYEED IKRAMUDDIN MD
Surgery
516 DELAWARE ST. SE, PWB FIRST FLOOR, CLINIC 1E
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-6666

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 Beasley's NPI number?

The NPI number for Shannon Beasley is 1659409563. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Shannon Beasley located?

Shannon Beasley practices at 516 Delaware St. SE Pwb Room 7-111, Mmc 504, Minneapolis, MN 55455. The listed phone number is (612) 626-5609.

What is Shannon Beasley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shannon Beasley enrolled in Medicare?

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

What insurance does Shannon Beasley accept?

Health plans from Medica and Sanford Health Plan list Shannon Beasley 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 Shannon Beasley was last updated on December 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.