MS. SHANNON M KELLY-SCHUG G.N.P.
NPI 1891779567
Nurse Practitioner - Gerontology in St Louis Park, MN

Q: What is Shannon Kelly-schug's NPI number?

The NPI number for Shannon Kelly-schug is 1891779567. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Shannon Kelly-schug's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since December 06, 2005PECOS Enrolled

3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-5041 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Shannon M Kelly-schug G.n.p. NPPES

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

MS. SHANNON M KELLY-SCHUG G.N.P. (NPI 1891779567) is an individual gerontology provider in St Louis Park, Minnesota, licensed in Minnesota (R120875-9) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891779567

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMS. SHANNON M KELLY-SCHUGCredential: G.N.P.

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

Mailing Address3850 Park Nicollet BlvdSt Louis Park, MN 55416-2527

Phone(952) 993-5041

Sole ProprietorNo

Enumeration DateDecember 6, 2005

Last NPPES UpdateFebruary 13, 2013

✔ NPI 1891779567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · R120875-9

3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Other Identifiers 1

Medicare UPINS33632

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 (PECOS)

Ms. Shannon M Kelly-schug G.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

185 services42 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

116 services19 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

25 services21 patients

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.

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.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers20 claims20 services$17.08 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 20

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

ELISABETH JEAN MCCLEAN MD

Family Medicine