Shelly A Hansen, CNNP - Medicare Nurse Practitioner in St Paul, MN

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Shelly A Hansen, CNNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in St Paul, Minnesota. Her current practice location is 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 220-6210.

Shelly A Hansen is licensed to practice in Minnesota (license number R1271278) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114983749.

Contact Information

Shelly A Hansen, CNNP
347 North Smith Ave, Childrens Specialty Clinic Nicu,
St Paul, MN 55102
(651) 220-6210
(651) 220-7777

Map and Direction




Provider's Profile

Full NameShelly A Hansen
GenderFemale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location347 North Smith Ave, St Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114983749
  • Provider Enumeration Date: 04/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103154786
  • Enrollment ID: I20190820003479

Medical Identifiers

Medical identifiers for Shelly A Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114983749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal R1271278 (Minnesota)Primary
363LN0005XNurse Practitioner - Neonatal, Critical Care R1271278 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelly A Hansen allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly A Hansen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly A Hansen, CNNP
2910 Centre Pointe Dr 35-121a, Childrens Health Care,
Roseville, MN 55113

Ph: (651) 855-2327		Shelly A Hansen, CNNP
347 North Smith Ave, Childrens Specialty Clinic Nicu,
St Paul, MN 55102

Ph: (651) 220-6210

Reviews and Comments


Nurse Practitioner Nurses in St Paul, MN

Nancy Entgelmeier, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102
Phone: 651-220-6446    
Judy L Peterson, CNNP CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102
Phone: 651-220-6210    Fax: 651-220-7777
Rebekah A Forrest, CFNP
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Medicare: Accepting Medicare Assignments
Practice Location: 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102
Phone: 651-220-6750    Fax: 651-220-6770
Karla Lynn Hurtley, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Children's Health Care, 345 North Smith Ave, St Paul, MN 55102
Phone: 651-220-6750    
Monica M Overkamp, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Healthpartners Specialty Center 401, 401 Phalen Blvd-mail Stop 41103b, St Paul, MN 55130
Phone: 651-254-7820    Fax: 651-254-7827
Ms. Kathleen Marie Booth, RNC, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2115 Summit Ave, Student Health Services # 5056, St Paul, MN 55105
Phone: 651-962-6750    Fax: 651-962-6751

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.