TWIN PORTS TELEMEDICINE
NPI 1831941970
Nurse Practitioner - Primary Care in Saginaw, MN
About Twin Ports Telemedicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TWIN PORTS TELEMEDICINE (NPI 1831941970) is a healthcare organization registered as a primary care in Saginaw, Minnesota and active in the NPI registry since April 2024. The organization lists Nicole Shockley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Twin Ports Telemedicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Twin Ports Telemedicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Twin Ports Telemedicine LLC's NPI number?
The NPI number for Twin Ports Telemedicine LLC is 1831941970. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Twin Ports Telemedicine.
Where is Twin Ports Telemedicine LLC located?
Twin Ports Telemedicine LLC is located at 4727 Aune Rd, Saginaw, MN 55779. The listed phone number is (218) 391-6264.
What is Twin Ports Telemedicine LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Twin Ports Telemedicine LLC enrolled in Medicare?
Yes. Twin Ports Telemedicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Twin Ports Telemedicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Twin Ports Telemedicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Twin Ports Telemedicine LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Twin Ports Telemedicine · NPI 1831941970
Primary Care organization in Saginaw, Minnesota. Organization record, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1831941970 (Entity type: Organization)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Twin Ports Telemedicine Llc
- **Organization subpart:** No
- **Authorized official:** Nicole Shockley, OWNER
## Practice location
- **Address:** 4727 AUNE RD, Saginaw, MN 55779-9682
- **Phone:** (218) 391-6264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831941970) · Data from the CMS NPPES public registry.