Shannon Suzanne Spies Ingersoll, CRNA in Coon Rapids, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Shannon Suzanne Spies Ingersoll, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coon Rapids, Minnesota. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St. Luke's Hospital Of Duluth and her current practice location is 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 398-0099.

Shannon Suzanne Spies Ingersoll is licensed to practice in Minnesota (license number R 134764-9) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093717662.

Contact Information

	Shannon Suzanne Spies Ingersoll, CRNA
	8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850
	(763) 398-0099
	(763) 398-0124

Map and Direction

Provider's Profile

Full Name	Shannon Suzanne Spies Ingersoll
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	8990 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Suzanne Spies Ingersoll graduated from nursing school in 2004

NPI Data:

NPI Number: 1093717662
Provider Enumeration Date: 08/12/2005
Last Update Date: 11/25/2025

Medicare PECOS Information:

PECOS PAC ID: 1951366202
Enrollment ID: I20041129000225

Medical Identifiers

Medical identifiers for Shannon Suzanne Spies Ingersoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093717662	NPI	-	NPPES
203664900	Medicaid	MN
120G5SP	Other	MN	BCBSMN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R 134764-9 (Minnesota)	Primary
367500000X	Nurse Anesthetist, Certified Registered	209033784 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Duluth, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Luke's Hospital Of Duluth	7113834839	371

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. Shannon Suzanne Spies Ingersoll allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

Entity Name	Saint Elizabeths Hospital Of Wabasha Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811

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 Suzanne Spies Ingersoll 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 Suzanne Spies Ingersoll, CRNA 14625 Cty Rd 142 Se, Dover, MN 55929 Ph: () -	Shannon Suzanne Spies Ingersoll, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Coon Rapids, MN

Mark Retz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433 Phone: 763-398-0124
Michael D Thyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124

Shannon Suzanne Spies Ingersoll, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Coon Rapids, MN