SHANNON ALICE LADD CNP
NPI 1982291209
Nurse Practitioner in St Louis Park, MN
About Shannon Alice Ladd Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ALICE LADD CNP (NPI 1982291209) is an individual nurse practitioner in St Louis Park, Minnesota, licensed in Minnesota (14756) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Avera Queen Of Peace, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Shannon Alice Ladd Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Ladd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Forks, ND 58201
- Reassigned Medicare billing, South Dakota enrollment
- 3 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, South Dakota enrollment
- 3 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician 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.
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.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Ladd's NPI number?
The NPI number for Shannon Ladd is 1982291209. It was assigned to this individual provider in the NPPES registry on December 22, 2020.
Where is Shannon Ladd located?
Shannon Ladd practices at 5320 W 23rd St Ste 130, St Louis Park, MN 55416. The listed phone number is (952) 345-3310.
What is Shannon Ladd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shannon Ladd enrolled in Medicare?
Yes. Shannon Ladd 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 Shannon Ladd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ladd reassigns Medicare benefits to 2 organizations: Legacy Primary Care PLLC (Grand Forks, ND) and Legacy Medical LLC (Bismarck, ND). 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 Shannon Ladd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Ladd accept?
Health plans from Oscar Insurance Company, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Shannon Ladd 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 Ladd affiliated with any hospitals?
According to CMS data, Shannon Ladd is affiliated with Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Shannon Ladd was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.
# Shannon Alice Ladd, CNP · NPI 1982291209
Nurse Practitioner physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since December 22, 2020.
## Identity
- **NPI:** 1982291209 (Entity type: Individual)
- **Enumerated:** December 22, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 14756 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5320 W 23RD ST STE 130, St Louis Park, MN 55416-1670
- **Phone:** (952) 345-3310 · **Fax:** (952) 345-8771
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Legacy Primary Care PLLC (NPI 1265277115, Grand Forks, ND); Legacy Medical LLC (NPI 1619594637, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1982291209) · Data from the CMS NPPES public registry.