SHANNON ROSE PETROSKE NP
NPI 1962854075
Nurse Practitioner - Family in Hibbing, MN

Active since July 13, 2016PECOS EnrolledAccepts Medicare Assignment
90.32/100
CMS Quality Rating
750 E 34TH ST, HIBBING, MN 55746(218) 362-6898 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2017, Jul 13, 2016 (2 updates tracked since 2016).

About Shannon Rose Petroske Np NPPES

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

SHANNON ROSE PETROSKE NP (NPI 1962854075) is an individual family provider in Hibbing, Minnesota, licensed in Minnesota (CNP4645) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962854075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON ROSE PETROSKECredential: NP
Location Address750 E 34TH STHibbing, MN 55746-2341
Mailing Address3429 Outer DriveHibbing, MN 55746 · (218) 750-7511
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 13, 2016
Last NPPES UpdateJune 14, 20172 updates tracked since enumeration
NPI 1962854075 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 · CNP4645
750 E 34TH ST, Hibbing, MN 55746

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

Shannon Rose Petroske 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 ID3072808138
PECOS Enrollment IDI20160829001168
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services28 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

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 Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55746 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.

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.

90.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.18
Promoting Interoperability100
Improvement Activities40
Cost65.92

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.

Social Worker (Clinical)
750 E 34TH ST
HIBBING, MN 55746
Pharmacist
750 E 34TH ST
HIBBING, MN 55746
Speech-Language Pathologist
750 E 34TH ST
HIBBING, MN 55746
Podiatrist (Foot & Ankle Surgery)
750 E 34TH ST
HIBBING, MN 55746
Counselor (Addiction (Substance Use Disorder))
750 E 34TH ST
HIBBING, MN 55746
Emergency Medicine
750 E 34TH ST
HIBBING, MN 55746
Emergency Medicine
750 E 34TH ST
HIBBING, MN 55746
Nurse Practitioner (Family)
750 E 34TH ST
HIBBING, MN 55746

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 Shannon Petroske's NPI number?

The NPI number for Shannon Petroske is 1962854075. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Shannon Petroske located?

Shannon Petroske practices at 750 E 34th St, Hibbing, MN 55746. The listed phone number is (218) 362-6898.

What is Shannon Petroske's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Petroske enrolled in Medicare?

Yes. Shannon Petroske 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 Shannon Petroske accept?

Health plans from Medica and Sanford Health Plan list Shannon Petroske 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 Shannon Petroske affiliated with any hospitals?

According to CMS data, Shannon Petroske is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, Grand Itasca Clinic And Hospital and Essentia Health Virginia.

When was this NPI record last updated?

The NPPES record for Shannon Petroske was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.