SHANNON M BEASLEY CPNP, PHN, CDE
NPI 1659409563
Nurse Practitioner - Pediatrics in Minneapolis, MN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
5Medicare enrollment records show Shannon Beasley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
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.
Which organizations bill Medicare for Shannon Beasley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Beasley reassigns Medicare benefits to 5 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, 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 Beasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Shannon M Beasley, CPNP, PHN, CDE · NPI 1659409563
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1659409563 (Entity type: Individual)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 3938 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 DELAWARE ST. SE, PWB ROOM 7-111, MMC 504, Minneapolis, MN 55455
- **Phone:** (612) 626-5609 · **Fax:** (612) 626-5206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1659409563) · Data from the CMS NPPES public registry.