Shannon Nicole Peterson, - Medicare Physician Assistant in Robbinsdale, MN

Shannon Nicole Peterson, is a medicare enrolled "Physician Assistant" in Robbinsdale, Minnesota. Her current practice location is 3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-5200.

Shannon Nicole Peterson is licensed to practice in Minnesota (license number 14422) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215690177.

Contact Information

Shannon Nicole Peterson,
3300 Oakdale Ave N,
Robbinsdale, MN 55422
(763) 520-5200
Not Available

Map and Direction




Provider's Profile

Full NameShannon Nicole Peterson
GenderFemale
SpecialityPhysician Assistant
Location3300 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215690177
  • Provider Enumeration Date: 10/18/2021
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264807932
  • Enrollment ID: I20230411001424

Medical Identifiers

Medical identifiers for Shannon Nicole Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215690177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 14422 (Minnesota)Primary

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 Nicole Peterson 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 AddressPractice Location Address
Shannon Nicole Peterson,
3300 Oakdale Ave N,
Robbinsdale, MN 55422

Ph: (763) 520-5200
Shannon Nicole Peterson,
3300 Oakdale Ave N,
Robbinsdale, MN 55422

Ph: (763) 520-5200

Reviews and Comments


Physician Assistant Nurses in Robbinsdale, MN

Ms. Jenny Rebecca Kluznik, PA-C, MPH
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5810 42nd Ave N, Robbinsdale, MN 55422
Phone: 763-533-1316    
Margaret A Baranowski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422
Phone: 763-520-7870    Fax: 763-520-7889
Jennifer Rose Page, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    
Logan Renninger, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-3700    Fax: 763-581-3701
Lauren A Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-581-3700    Fax: 763-581-3701
Kristen Joy Lindvall, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422
Phone: 763-520-5200    
Kenan C. Guilmette, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3366 Oakdale Ave N, 315, Robbinsdale, MN 55422
Phone: 763-587-7900    Fax: 763-587-7989

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.