Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON ALICE LADD CNP
NPI 1982291209
Nurse Practitioner in St Louis Park, MN

Q: 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.

Q: What is Shannon Ladd's specialty?

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

Q: 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 11 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.

Active since December 22, 2020PECOS Enrolled

5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416(952) 345-3310(952) 345-8771 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Dec 22, 2020 (2 updates tracked since 2020).

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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

NPI1982291209

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON ALICE LADDCredential: CNP

Location Address5320 W 23RD ST STE 130St Louis Park, MN 55416-1670

Mailing Address5320 W 23rd St Ste 130St Louis Park, MN 55416-1670 · (952) 345-3310 · Fax (952) 345-8771

Phone(952) 345-3310

Fax(952) 345-8771

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 22, 2020

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1982291209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 14756

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.

5320 W 23RD ST STE 130, St Louis Park, MN 55416

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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 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.

PECOS PAC ID1153734074

PECOS Enrollment IDI20210113001077

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.

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison 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.

AKHSA SIMONOVICH FNP

Nurse Practitioner (Family)