Shannon Nichole Siekas (NPI# 1003222597, PAC ID# 7113145467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003222597 |
| PAC ID by PECOS | 7113145467 |
| Professional Enrollment ID | I20140827002495 |
| Full Name | Shannon Nichole Siekas |
| Organization Legal Name | BRAINERD MEDICAL CENTER INC |
| Address |
14113 Edgewood Dr Baxter MN 56425-8462 |
| Phone Number | 2188287100 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648270272 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240075 | ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13060 Isle Dr, Baxter, MN 56401-6379 | 2188282880 | BRAINERD MEDICAL CENTER INC |
| 14113 Edgewood Dr, Baxter, MN 56425-8462 | 2188287100 | BRAINERD MEDICAL CENTER INC |
| 35205 County Rd, Suite 3, Crosslake, MN 56442-4057 | 2186921010 | ST JOSEPHS MEDICAL CENTER |
| 35205 County Rd, Crosslake, MN 56442-4057 | 2186921010 | ST JOSEPHS MEDICAL CENTER |
| 415 Barclay Ave, Pine River, MN 56474-5139 | 2185874416 | ST JOSEPHS MEDICAL CENTER |
| Organization Legal Name | BRAINERD MEDICAL CENTER INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shiela Marie Klemmetsen | Family Medicine | Brainerd Medical Center Inc | 13060 Isle Dr, Baxter, MN 56401-6379 |
| Melisa Palmer | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Trisha Marie Rau | Nurse Practitioner | Brainerd Medical Center Inc | 13060 Isle Dr, Baxter, MN 56401-6379 |
| Johnathan Carl Valesano | Diagnostic Radiology | Brainerd Medical Center Inc | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Patricia L Segler | Obstetrics/gynecology | Brainerd Medical Center Inc | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Michael John Brickner | Diagnostic Radiology | Brainerd Medical Center Inc | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Sarah A Osborne | Family Medicine | Brainerd Medical Center Inc | 13060 Isle Dr, Baxter, MN 56401-6379 |
| William Bradley Schenk | Diagnostic Radiology | Brainerd Medical Center Inc | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Kaley A Gadbois | Physician Assistant | Brainerd Medical Center Inc | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Lori Alice Gutierrez | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Street Address |
14113 EDGEWOOD DR |
| City | BAXTER |
| State | MN |
| Zip | 56425-8462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Scott Schneider | Otolaryngology | Kurtis A Waters Md Pa | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2223 |
| Angela E Aakhus | Dermatology | Dermatology Professionals, Pa | 13359 Isle Dr, Suite 3, Baxter, MN 56425-2223 |
| Kurtis A Waters | Otolaryngology | Kurtis A Waters Md Pa | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2223 |
| Katie J Starns | Nurse Practitioner | Kurtis A Waters Md Pa | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2223 |
| Whitney D Tope | Dermatology | Dermatology Professionals, Pa | 13359 Isle Dr, Suite 3, Baxter, MN 56425-2223 |
| Lacy A Osborne | Clinical Social Worker | Nystrom and Associates Ltd | 13045 Falcon Dr, Baxter, MN 56425-4201 |
| Elizabeth D Winkler-rogers | Nurse Practitioner | Nystrom and Associates Ltd | 13045 Falcon Dr, Baxter, MN 56425-4201 |
| Kathryn M Moser | Clinical Social Worker | Nystrom and Associates Ltd | 13045 Falcon Dr, Baxter, MN 56425-4201 |
| Donna M Brengman | Clinical Social Worker | Nystrom and Associates Ltd | 13045 Falcon Dr, Baxter, MN 56425-4201 |
| Donna S Peterson | Psychologist, Clinical | Nystrom and Associates Ltd | 13045 Falcon Dr, Baxter, MN 56425-4201 |
| Find all physicians in zip 56425 | |||
| City | BAXTER |
| Zip Code | 56425 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAXTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Nichole Siekas.
| 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.