SHANA KATHLYN KONGSJORD CNP
NPI 1750606984
Nurse Practitioner - Family in Deer River, MN
About Shana Kathlyn Kongsjord Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA KATHLYN KONGSJORD CNP (NPI 1750606984) is an individual family provider in Deer River, Minnesota, licensed in Minnesota (R179908-0) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Shana Kathlyn Kongsjord Cnp 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
2Medicare enrollment records show Shana Kongsjord reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Deer River, MN 56636
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1215041199 (Minnesota)
- 171 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNEssentia Health Deer River
Critical Access Hospitals · Deer River, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEER RIVER, MN 56636
DEER RIVER, MN 56636
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 Shana Kongsjord's NPI number?
The NPI number for Shana Kongsjord is 1750606984. It was assigned to this individual provider in the NPPES registry on March 31, 2010. The provider is also known as Shana Kathlyn Fideldy.
Where is Shana Kongsjord located?
Shana Kongsjord practices at 1025 10th Ave NE Duluth Clinic Deer River, Deer River, MN 56636. The listed phone number is (218) 246-8275.
What is Shana Kongsjord's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shana Kongsjord enrolled in Medicare?
Yes. Shana Kongsjord 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 Shana Kongsjord's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shana Kongsjord reassigns Medicare benefits to 2 organizations: Deer River Healthcare Center, Inc. (Deer River, MN) and The Duluth Clinic Ltd (Grand Rapids, 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 Shana Kongsjord's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shana Kongsjord accept?
Health plans from HealthPartners and Sanford Health Plan list Shana Kongsjord 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 Shana Kongsjord affiliated with any hospitals?
According to CMS data, Shana Kongsjord is affiliated with Grand Itasca Clinic And Hospital and Essentia Health Deer River.
When was this NPI record last updated?
The NPPES record for Shana Kongsjord was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shana Kathlyn Kongsjord, CNP · NPI 1750606984
Family physician in Deer River, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2010.
## Identity
- **NPI:** 1750606984 (Entity type: Individual)
- **Enumerated:** March 31, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R179908-0 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 10TH AVE NE, DULUTH CLINIC DEER RIVER, Deer River, MN 56636-8703
- **Phone:** (218) 246-8275
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Deer River Healthcare Center, Inc. (NPI 1225049018, Deer River, MN); The Duluth Clinic Ltd (NPI 1184132664, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 29, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1750606984) · Data from the CMS NPPES public registry.