Shannon Larson, CNP | |
101 Willmar Ave Sw, Willmar, MN 56201-3556 | |
(320) 231-5000 | |
(320) 231-5067 |
Full Name | Shannon Larson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 101 Willmar Ave Sw, Willmar, 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 |
---|---|---|---|
1972853208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | R1789773 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | CNP3193 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carris Health Llc | Willmar, MN | Hospital |
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healtheast Medical Research Institute | 3971407636 | 517 |
Fairview Clinics | 7113830142 | 658 |
Centracare Clinic Southwest Llc | 8426457946 | 141 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | Centracare Clinic Southwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
Mailing Address | Practice Location Address |
---|---|
Shannon Larson, CNP 101 Willmar Ave Sw, Willmar, MN 56201-3556 Ph: (320) 231-5000 | Shannon Larson, CNP 101 Willmar Ave Sw, Willmar, MN 56201-3556 Ph: (320) 231-5000 |
Lucy R Brink, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223 | |
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602 | |
Janaya Jean Marie Evenson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4399 | |
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720 | |
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Ms. Daniele J Welvaert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 19th Ave Sw, Willmar, MN 56201 Phone: 320-214-1100 Fax: 320-214-1155 | |
Mary Jane Young, RN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 Fax: 320-231-5067 |