SHANA KATHLYN KONGSJORD CNP
NPI 1750606984
Nurse Practitioner - Family in Deer River, MN

Active since March 31, 2010PECOS EnrolledAccepts Medicare Assignment
1025 10TH AVE NE, DULUTH CLINIC DEER RIVER, DEER RIVER, MN 56636(218) 246-8275 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1750606984
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANA KATHLYN KONGSJORDCredential: CNP
Location Address1025 10TH AVE NE, DULUTH CLINIC DEER RIVERDeer River, MN 56636-8703
Mailing Address1025 10th Ave Ne, Duluth Clinic Deer RiverDeer River, MN 56636-8703 · (218) 246-8275
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 31, 2010
Last NPPES UpdateApril 29, 2011
NPI 1750606984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · R179908-0
1025 10TH AVE NE, Deer River, MN 56636

Other Names 1

Former Name (1)Shana Kathlyn Fideldy

Accepted 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

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.

PECOS PAC ID7810185816
PECOS Enrollment IDI20101216001064
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.

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services14 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
11 services11 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
11 services11 patients

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, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

Physician 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.

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1025 10TH AVE NE
DEER RIVER, MN 56636
Emergency Medicine
1025 10TH AVE NE
DEER RIVER, MN 56636
Family Medicine
1025 10TH AVE NE
DEER RIVER, MN 56636
Nurse Practitioner (Family)
1025 10TH AVE NE, ESSENTIA HEALTH DEER RIVER CLINIC
DEER RIVER, MN 56636
Family Medicine
1025 10TH AVE NE
DEER RIVER, MN 56636
Nurse Practitioner (Family)
1025 10TH AVE NE
DEER RIVER, MN 56636
Family Medicine
1025 10TH AVE NE
DEER RIVER, MN 56636
Physician Assistant (Medical)
1025 10TH AVE NE, DULUTH DEER RIVER
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.

What insurance does Shana Kongsjord accept?

Health plans from HealthPartners, Medica 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.