Active NPI
Shannon Nord, M.D.
- Diagnostic Radiology Physician
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 66754
- Practice address
- 1990 Connecticut Ave S Ste 100
Sartell, MN 56377-2554 - Phone
- (320) 257-5595
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2014041577 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 11203758-1205 | UT | |
| Diagnostic Radiology Physician | 2085R0202X | 66754 | MN | Primary |
Addresses
Primary practice location
1990 Connecticut Ave S Ste 100
Sartell, MN 56377-2554
Mailing address
1990 Connecticut Ave S Ste 100
Sartell, MN 56377-2554
Phone (320) 257-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of North Dakota School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787
3351 Roosevelt Rd
Saint Cloud, MN 56301-6270
Phone (320) 257-9755
400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313
815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Cuyuna Regional Medical Center
- Centracare - Paynesville Hospital
- Centracare Health System - Sauk Centre
- Centracare - Long Prairie Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66754 | MN | MD | Diagnostic Radiology Physician |
| 2014041577 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| Central Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simplicity Health PA | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| St Cloud Pathologists PA | Current | Accepting new patients | |
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Regional Diagnostic Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Astera Health | Diagnostic Radiology | Current | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157
1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
3290 42nd Ave S
Saint Cloud, MN 56301
Phone (320) 227-5000
3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530
1990 Connecticut Ave S
Ste 100
Sartell, MN 56377
Phone (202) 575-5953
1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
Interoperability endpoints
- snord54738@direct.metrohealth.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sartell, MN
- NPI 1417935321
-
- Clinic/Center
- Starbuck, MN
- NPI 1417105552
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Family Medicine Physician
- St Cloud, MN
- NPI 1780186486
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Diagnostic Radiology Physician
- Saint Cloud, MN
- NPI 1457967234
-
- Critical Access Hospital
- Morris, MN
- NPI 1487678942
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Community/Retail Pharmacy
- Aitkin, MN
- NPI 1497377287
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1023351533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 CONNECTICUT AVE S STE 100",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772554",
"telephone_number": "320-257-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 CONNECTICUT AVE S STE 100",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772554",
"telephone_number": "320-257-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORD",
"first_name": "SHANNON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2014041577",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "11203758-1205",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "66754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.