Shannon M Kelly-schug (NPI# 1891779567, PAC ID# 2062549363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891779567 |
| PAC ID by PECOS | 2062549363 |
| Professional Enrollment ID | I20100419000293 |
| Full Name | Shannon M Kelly-schug |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
3800 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip | 55416-2527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara H Houle | Internal Medicine | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Olitha J Fofana | Nurse Practitioner | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Amanda J Mccambridge | Pulmonary Disease | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Karla S Rosenman | Dermatology | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Jacob A Klein | Physical Therapy | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Michael P Dukinfield | Family Medicine | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Rachael L Ottum | Physical Therapy | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Jerry L Juhl | Physical Therapy | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Tina P Lavin | Qualified Speech Language Pathologist | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Jennifer M Metz | Physician Assistant | Park Nicollet Clinic | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian L Delaney | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Melissa R Shirriff | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Harlan F Mittag | Chiropractic | 6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245 | |
| Keith Alan Vossel | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Kayla Charlene James | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Shauna Hsiaosan Yuan | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Christa Joyce Reader | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Scott Curran | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| James Ashe | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Minneapolis, MN 55416-1275 |
| Kathryn Ann Gorres Nice | Occupational Therapy | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Find all physicians in zip 55416 | |||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST LOUIS PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon M Kelly-schug.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.