Shannon Rose Tesky, APRN NP is a medicare enrolled "Family Medicine" in Molalla, Oregon. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
Po Box 348, Molalla, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 756-7885.
Shannon Rose Tesky is licensed to practice in Oregon (license number 10030182) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205661675.
Provider's Profile
| Full Name | Shannon Rose Tesky |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | Po Box 348, Molalla, Oregon |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon Rose Tesky graduated from nursing school in 2024
NPI Data:
- NPI Number: 1205661675
- Provider Enumeration Date: 09/05/2024
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274032560
- Enrollment ID: I20250814002924
Medical Identifiers
Medical identifiers for Shannon Rose Tesky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205661675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 10030182 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 10030182 (Oregon) | Primary |
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. Shannon Rose Tesky 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 Address | Practice Location Address |
Shannon Rose Tesky, APRN NP Po Box 348, Molalla, OR 97038-0348 Ph: (503) 756-7885 | Shannon Rose Tesky, APRN NP Po Box 348, Molalla, OR 97038-0348 Ph: (503) 756-7885 |
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