Shannon Olson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6619 Issued in MN

Practice address

600 1St Ave N
Minneapolis, MN 55403-1400

Phone

(612) 486-3625

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Greaves Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 8, 2025 through Apr 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northern Cardiovascular Clinic, PA

  • Clinic/Center
  • Edina, MN
  • NPI 1639799323
  NPD
• Reese Surgical Group PLLC

  • Vascular Surgery Physician
  • Edina, MN
  • NPI 1972762631
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1154887214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031400",
            "telephone_number": "612-486-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031400",
            "telephone_number": "612-486-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "GREAVES",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Renee L. Olson, RN
• Riah Naegele Olson, RN
• Richard Allen Olson, CRNA
• Ross Olson
• Sarah Olson, RN
• Shawna Olson
• Shelbi Olson, MD
• Stephanie Olson, NP
• Stephen C Olson, MD
• Susan Olson, D.M.D

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.