Individual provider Active NPI

Angela M Shengena, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chaska, MN
National Provider Identifier
1215606124
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8505 Issued in MN
Practice address
1107 Hazeltine Blvd Ste 470
Chaska, MN 55318-1066
Phone
(763) 249-5031
Fax
(888) 821-5733
NPI assigned
Sep 13, 2021
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8505 MN Primary

Addresses

Primary practice location

1107 Hazeltine Blvd Ste 470
Chaska, MN 55318-1066

Mailing address

1107 Hazeltine Blvd Ste 470
Chaska, MN 55318-1066
Phone (763) 249-5031

Other names 1

  • Angela M Van Benten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221205001413 WI Practitioner - Nurse Practitioner 6204205883 Reassigns benefits to 1 organization
I20250217000098 MN Practitioner - Nurse Practitioner 6204205883 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8505MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Behavioral Health - Wisconsin SC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Equilibrium Brain Body Balance CurrentSince Nov 30, 2024 Accepting new patients
Rogers Memorial Hospital Incorporated Past Accepting new patients

Locations

7730 Laredo Dr
Unit 163
Chanhassen, MN 55317

12800 Whitewater Dr
Ste 100
Minnetonka, MN 55343
Phone (612) 700-0421

4351 W College Ave
Ste 300
Appleton, WI 54914
Phone (844) 258-1072

9916 75th St
Ste 205
Kenosha, WI 53142
Phone (262) 942-0000

34700 Valley Rd
Oconomowoc, WI 53066

1108 S Wildwood Ave
Sheboygan, WI 53081
Phone (844) 258-1072

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1215606124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 470",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181066",
            "telephone_number": "763-249-5031",
            "fax_number": "888-821-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 470",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181066",
            "telephone_number": "763-249-5031",
            "fax_number": "888-821-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENGENA",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "VAN BENTEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.