Shelly A..J. Neiman, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2486 Issued in MN

Practice address

24087 Cuyuna St
Deerwood, MN 56444-3301

Phone

(188) 335-1602

NPI assigned

Jun 11, 2014

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

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health St Joseph's Medical Center Hospital, Brainerd, MN, CCN 240075

Medicare enrollment (NPD)

Enrolled

Credentials

Certified 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.

• St. Joseph's Medical Center

  dba Essentia Health-St. Joseph's Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Medicare reassignment Care Compare group NPD
• St Joseph's Medical Center

  dba Essentia Health St Josephs Staples Clinic

  • Multi-Specialty Clinic/Center
  • Staples, MN
  • NPI 1538916101
  NPD
• St Joseph's Medical Center

  dba Essentia Health St Joseph's-Orthopedics Clinic

  • Clinic/Center
  • Brainerd, MN
  • NPI 1952896144
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's -Brainerd Clinic

  • General Practice Physician
  • Brainerd, MN
  • NPI 1184866956

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba St. Joseph's Medical Center Anesthesia Associates

  • Anesthesiology Physician
  • Brainerd, MN
  • NPI 1336465038

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Crosslake Clinic

  • Primary Care Clinic/Center
  • Crosslake, MN
  • NPI 1477509776

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's Emily Clinic

  • Multi-Specialty Clinic/Center
  • Emily, MN
  • NPI 1538571914

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health-St. Joseph's Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pierz Clinic

  • Primary Care Clinic/Center
  • Pierz, MN
  • NPI 1568418861

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pine River Clinic

  • Primary Care Clinic/Center
  • Pine River, MN
  • NPI 1649223603

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pequot Lakes Clinic

  • Primary Care Clinic/Center
  • Pequot Lakes, MN
  • NPI 1730134891

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Lakeland Psychiatry Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brainerd, MN
  • NPI 1740393032

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pillager Clinic

  • Primary Care Clinic/Center
  • Pillager, MN
  • NPI 1891740957

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1396159976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-364-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24087 CUYUNA ST",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "564443301",
            "telephone_number": "188-335-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "SHELLY",
        "middle_name": "A..J.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deerwood Dental, Inc (The Smile Center)
• Molly Rebecca Gervich, DDS
• Lakes Area Mobile Smiles, Inc (Lakes Mobile Dental)
• Jamie Don Lauwagie, MD
• Minnesota Mobility Systems Inc.
• Northland Smiles Corporation PA
• Bradford J Pugh, DDS
• Victoria Ridout, DDS
• Corri Sehr, DC
• St Joseph's Medical Center (Essentia Health St Joseph's Deerwood Clinic)

• Family Nurse Practitioner in Deerwood, MN
• Providers in Deerwood, 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 Jun 25, 2025; 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.