| Shannon Elizabeth Utecht, NP | |
| 
					50 Centracare Dr, Long Prairie, MN 56347-2100  | |
| (320) 732-2131 | |
| (320) 732-6913 | 
| Full Name | Shannon Elizabeth Utecht | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 50 Centracare Dr, Long Prairie, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548043144 | NPI | - | NPPES | 
| Entity Name | Centracare Health System - Melrose | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690  | 
| Entity Name | Centracare Health System - Long Prairie | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460  | 
| Entity Name | Centracare Health System - Melrose | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839  | 
| Entity Name | Centracare Health System - Long Prairie | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579  | 
| Entity Name | Centracare Health System - Sauk Centre | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380  | 
| Entity Name | Centracare Health System - Sauk Centre | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1740553932 PECOS PAC ID: 4981857216 Enrollment ID: O20140523001292  | 
| Entity Name | Aim-axness Integrative Medicine Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740708411 PECOS PAC ID: 6507121688 Enrollment ID: O20180518001271  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shannon Elizabeth Utecht, NP 7350 Clearwater Rd # 201, Baxter, MN 56425-8463 Ph: (218) 270-5590  | Shannon Elizabeth Utecht, NP 50 Centracare Dr, Long Prairie, MN 56347-2100 Ph: (320) 732-2131  | 
Jennifer Marie Love, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2141  | |
Janelle Mary Terhaar, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 9th St Se, Long Prairie, MN 56347 Phone: 320-732-2141 Fax: 320-732-6913  | |
Jaycob Nietfeld, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131  | |
Dr. Camilla Peterson-devries, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 2nd St N, Long Prairie, MN 56347 Phone: 320-732-8162  | |
Kelly Lee Mattson, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913  | |
Bobbie Jo Marie Haagenson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131  | |
Christine M. Olson, R.N. CN/P Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347 Phone: 320-732-2141 Fax: 320-732-6913  |