| Shelby Marie Wills, | |
|
3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | |
| (651) 871-1145 | |
| Not Available |
| Full Name | Shelby Marie Wills |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3001 Broadway St Ne Ste 500, Minneapolis, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184292153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8310 (Minnesota) | Primary |
| 163WG0100X | Registered Nurse - Gastroenterology | 2150709 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Entity Name | Mngi Digestive Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Marie Wills, 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 Ph: (651) 877-1145 | Shelby Marie Wills, 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 Ph: (651) 871-1145 |
Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101 | |
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534 | |
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102 | |
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110 | |
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330 | |
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000 | |
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792 |