SHANON L KJELSTAD CRNA
NPI 1851393649
Nurse Anesthetist, Certified Registered in Coon Rapids, MN

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
8990 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 398-0099(763) 398-0124 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shanon L Kjelstad Crna NPPES

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

SHANON L KJELSTAD CRNA (NPI 1851393649) is an individual nurse anesthetist, certified registered in Coon Rapids, Minnesota, licensed in Minnesota (R 125106-5) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851393649
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHANON L KJELSTADCredential: CRNA
Location Address8990 SPRINGBROOK DR NWCoon Rapids, MN 55433-5884
Mailing Address17241 Partridge St NwAndover, MN 55304-1453
Fax(763) 398-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 11, 2005
Last NPPES UpdateMay 15, 2008
✔ NPI 1851393649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R 125106-5
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
8990 SPRINGBROOK DR NW, Coon Rapids, MN 55433

Other Identifiers 3

Medicaid817918200MN
Medicare PIN430005066MN
Other210G5KJMN · Bcbsmn

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

Shanon L Kjelstad Crna 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 ID1254389612
PECOS Enrollment IDI20050112000404
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shanon Kjelstad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9055 SPRINGBROOK DR NW
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2950 CURVE CREST BLVD W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 131 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14054 BANK ST, BOX 100
Becker, MN 55308
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 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 55433 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433

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 Shanon Kjelstad's NPI number?

The NPI number for Shanon Kjelstad is 1851393649. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Shanon Kjelstad located?

Shanon Kjelstad practices at 8990 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 398-0099.

What is Shanon Kjelstad's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shanon Kjelstad enrolled in Medicare?

Yes. Shanon Kjelstad 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 Shanon Kjelstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanon Kjelstad reassigns Medicare benefits to 4 organizations: Allina Health System (Coon Rapids, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN), Certified Anesthesia Care, Co. (Stillwater, MN) and Central Minnesota Anesthesia Providers, PA (Becker, 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 Shanon Kjelstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shanon Kjelstad was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.