Individual provider Active NPI

Shannon Melody Karsten, LGSW

  • Social Worker
  • Owatonna, MN
National Provider Identifier
1295306298
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
25464 Issued in MN
Practice address
1414 S Oak Ave Ste 6
Owatonna, MN 55060-3957
Phone
(507) 475-9548
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 25464 MN Primary

Addresses

Primary practice location

1414 S Oak Ave Ste 6
Owatonna, MN 55060-3957

Mailing address

412 Selby Ave
Owatonna, MN 55060-2857
Phone (507) 456-5631

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fax Experiencing Moore, PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429001065 MN Practitioner - Clinical Social Worker 4789071390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experiencing Moore PCGroup PAC ID 2466842364, 2 clinicians

Practice addresses (Care Compare)

1414 S Oak Ave
Suite 6
Owatonna, MN 55060-3957
Phone (507) 676-6834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Karsten LLC Current Accepting new patients
Experiencing Moore, PC CurrentSince Jan 20, 2022 Accepting new patients
The Lighthouse of Southern MN Current Accepting new patients

Locations

1414 S Oak Ave
Ste 6
Owatonna, MN 55060
Phone (507) 363-9063

Organizations & group practices 3

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1295306298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SELBY AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602857",
            "telephone_number": "507-456-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S OAK AVE STE 6",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603957",
            "telephone_number": "507-475-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSTEN",
        "first_name": "SHANNON",
        "middle_name": "MELODY",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "25464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "Y",
            "affiliationName": "Experiencing Moore, PC",
            "address_1": "1414 S Oak Ave Ste 6",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550603957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.