Individual provider Active NPI

Calie Shemwell, CNP

  • Gynecology Physician
  • Minneapolis, MN
National Provider Identifier
1104647395
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
12151 Issued in MN
Practice address
1200 Lagoon Ave
Minneapolis, MN 55408-2077
Phone
(888) 251-8192
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 12151 MN Primary

Addresses

Primary practice location

1200 Lagoon Ave
Minneapolis, MN 55408-2077

Mailing address

1006 Pine St W
Stillwater, MN 55082-5647
Phone (952) 334-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513000860 MN Practitioner - Nurse Practitioner 4688192784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Apr 24, 2025 Accepting new patients

Locations

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1104647395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 PINE ST W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825647",
            "telephone_number": "952-334-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAGOON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082077",
            "telephone_number": "888-251-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMWELL",
        "first_name": "CALIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MN",
            "license": "12151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.