Individual provider Active NPI

Shannon Stremick, FNP-C

  • Family Nurse Practitioner
  • Minot, ND
National Provider Identifier
1396257986
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R40603 Issued in ND
Practice address
1715 S Broadway
Minot, ND 58701-6304
Phone
(701) 335-6800
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R40603 ND Primary

Addresses

Primary practice location

1715 S Broadway
Minot, ND 58701-6304

Mailing address

1715 S Broadway
Minot, ND 58701-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20180201002852 ND Practitioner - Nurse Practitioner 4385904846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lea Anna Hughes LCSWGroup PAC ID 8921540576, 4 clinicians

Practice addresses (Care Compare)

1715 S Broadway
Minot, ND 58701-6304
Phone (701) 355-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lea Anna Hughes LCSW CurrentSince Apr 22, 2024 Accepting new patients
Premier Physical Therapy of North Dakota PLLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

1715 S Broadway
Minot, ND 58701
Phone (701) 204-6274

Organizations & group practices 2

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1396257986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-335-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREMICK",
        "first_name": "SHANNON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R40603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.