Shanon Erin Caillier, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11875 Issued in MN

Practice address

18336 260TH St SW
Crookston, MN 56716

Phone

(218) 289-2787

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

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

• Shanon Erin Caillier Former name

Medicare fee-for-service enrollment

Enrolled in MN, IA2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mille Lacs Health SystemGroup PAC ID 4789577834, shared by 10 NPIs, 47 clinicians

Warren Community Hospital IncGroup PAC ID 2264408566, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shanon.caillier.1@31765.direct.athenahealth.com

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.

• Warren Community Hospital, Inc.

  dba North Valley Health Center

  • Critical Access Hospital
  • Warren, MN
  • NPI 1073516357
  Medicare reassignment Care Compare group NPD
• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Medicare reassignment NPD
• Evizzit of Iowa Psychiatry PC

  dba Integrated Telehealth Partners

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Serene Sunrise Mental Health Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Crookston, MN
  • NPI 1730014275
  NPD Authorized official
• Mille Lacs Health System

  dba Mille Lacs Family Clinic Onamia

  • Rural Health Clinic/Center
  • Onamia, MN
  • NPI 1275796773
  NPD
• Mille Lacs Health System

  dba MLHS Community Pharmacy

  • Community/Retail Pharmacy
  • Onamia, MN
  • NPI 1841947801
  NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1295564938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 260TH ST SW",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567169410",
            "telephone_number": "218-289-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 260TH ST SW",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "56716",
            "telephone_number": "218-289-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Good Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MN",
            "postal_code": "567621412",
            "country_code": "US",
            "telephone_number": "218-745-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAILLIER",
        "first_name": "SHANON",
        "middle_name": "ERIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANON",
            "last_name": "CAILLIER",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Crookston, MN
• Providers in Crookston, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.