Sheila Calderon, CNP, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 4571 Issued in MN

Practice address

323 Willamor Cir
Albert Lea, MN 56007-1473

Phone

(507) 951-6957

NPI assigned

Nov 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sheila Ann Gross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Patient'S Choice Wellness Clinic

  • Clinic/Center
  • Albert Lea, MN
  • NPI 1053197822
  NPD Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1174066237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WILLAMOR CIR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071473",
            "telephone_number": "507-951-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WILLAMOR CIR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071473",
            "telephone_number": "507-951-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "SHEILA",
        "credential": "CNP, FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "GROSS",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• BST Albert Lea, LLC
• Jordan Buendorf, APRN
• Julianne S Bulau, MSW LICSW
• Richard Allen Buringa, C.R.N.A.
• Amy Busall
• Andrea Vanessa Caraccioli, M.D.
• Clarence Roy Carlson Jr., D.O.
• Jennifer Anne Chalmers, PT
• Larissa Chapman, RDN
• Mary A Christensen, M.D.

• Family Nurse Practitioner in Albert Lea, MN
• Providers in Albert Lea, 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 Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.