Shelly Aj Neiman, CNP is a medicare enrolled "Nurse Practitioner - Family" in Deerwood, Minnesota. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Medical Center and her current practice location is
24087 Cuyuna St, Deerwood, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(188) 335-1602.
Shelly Aj Neiman is licensed to practice in Minnesota (license number 2486) 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 1396159976.
Provider's Profile
| Full Name | Shelly Aj Neiman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 24087 Cuyuna St, Deerwood, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelly Aj Neiman graduated from nursing school in 2014
NPI Data:
- NPI Number: 1396159976
- Provider Enumeration Date: 06/11/2014
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496077463
- Enrollment ID: I20141202000410
Medical Identifiers
Medical identifiers for Shelly Aj Neiman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396159976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2486 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Josephs Medical Center | 8224948443 | 226 |
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 Aj Neiman 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 |
|---|
Shelly Aj Neiman, CNP
1702 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 364-8000 | Shelly Aj Neiman, CNP
24087 Cuyuna St,
Deerwood, MN 56444-3301
Ph: (188) 335-1602 |
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