SHANNON NOELLE PLANTENBERG NP
NPI 1891524435
Nurse Practitioner in Saint Louis Park, MN

Q: What is Shannon Plantenberg's NPI number?

The NPI number for Shannon Plantenberg is 1891524435. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Q: What is Shannon Plantenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment

3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416(952) 993-3400 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2026, Oct 3, 2024, Aug 19, 2024 and 1 more (4 updates tracked since 2024).

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About Shannon Noelle Plantenberg Np NPPES

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

SHANNON NOELLE PLANTENBERG NP (NPI 1891524435) is an individual nurse practitioner in Saint Louis Park, Minnesota, licensed in Minnesota (11992) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Hanover.

NPPES Registry Identity

NPI1891524435

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON NOELLE PLANTENBERGCredential: NP

Location Address3850 PARK NICOLLET BLVDSaint Louis Park, MN 55416-2527

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 31, 2024

Last NPPES UpdateJanuary 18, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2026

✔ NPI 1891524435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 11992

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11992 (MN), 0000000 (MN)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 11992 (MN)

3850 PARK NICOLLET BLVD, Saint Louis Park, MN 55416

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Secondary Practice Location 1

Location 110981 4th St NE Ste 104Hanover, MN 55341-4092 · Phone (763) 733-1242 · Fax (612) 484-4583

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Shannon Noelle Plantenberg Np 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 ID7012449630

PECOS Enrollment IDI20241021000832

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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.

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.

ELISABETH JEAN MCCLEAN MD

Family Medicine