Individual provider Active NPI

Shannon Nord, M.D.

  • Diagnostic Radiology Physician
  • Sartell, MN
National Provider Identifier
1023351533
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
66754 Issued in MN
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

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190605001380 UT Practitioner - Diagnostic Radiology 0244478121 Reassigns benefits to 1 organization
I20200320000819 MN Practitioner - Diagnostic Radiology 0244478121 Reassigns benefits to 10 organizations

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
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians
Central Imaging LLCGroup PAC ID 7012324213, 23 clinicians
Stevens Community Medical Center IncGroup PAC ID 3678475852, 72 clinicians
Unity Family HealthcareGroup PAC ID 9830003516, 65 clinicians

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 Hospital, Saint Cloud, MN, CCN 240036
  • Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353
  • Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349
  • Centracare Health System - Sauk Centre Hospital, Sauk Centre, MN, CCN 241368
  • Centracare - Long Prairie Hospital Hospital, Long Prairie, MN, CCN 241326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66754MNMDDiagnostic Radiology Physician
2014041577MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 30, 2019 Accepting new patients
Central Imaging LLC Diagnostic Radiology CurrentSince May 24, 2021 Accepting new patients
Simplicity Health PA CurrentSince Jan 29, 2021 Accepting new patients
Unity Family Healthcare CurrentSince Apr 21, 2024 Accepting new patients
Unity Family Healthcare CurrentSince Apr 21, 2024 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Apr 30, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
Unity Family Healthcare CurrentSince Dec 29, 2025 Accepting new patients
Regional Diagnostic Radiology Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
Astera Health CurrentSince Aug 1, 2020 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 30, 2024 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.