Shayna Hamiel, DNP, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10623 Issued in MN

Practice address

2117 Pine Ridge Rd S
Mora, MN 55051-6821

Phone

(612) 805-9026

NPI assigned

Jun 4, 2020

Last updated

Aug 15, 2023By 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 2

Addresses

Other identifiers 2

Other names 1

• Shayna Robinson Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC

  • Adult Mental Health Clinic/Center
  • Cambridge, MN
  • NPI 1205319464
  Medicare reassignment NPD
• Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC

  dba Good Mood Innovations TMS

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MN
  • NPI 1891559407
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1457975419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 PINE RIDGE RD S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550516821",
            "telephone_number": "612-805-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 PINE RIDGE RD S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550516821",
            "telephone_number": "612-805-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIEL",
        "first_name": "SHAYNA",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "10623",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MN",
            "license": "R170264-0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE - CNP",
            "identifier": "10623",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE - MN",
            "identifier": "R170264-0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Neil Haasken, DDS
• Bryce Wayne Haasken, DDS
• Mitchell Hager
• Gabriela L Halle, LICSW
• Matthew James Hamiel, CRNA
• Leah L Haverhals, PT
• Haley Hemmerich
• Erika Kay Herges, CNP
• Jill Herges, NP-C
• Steven Nelson Holcombe, DMD

• Pediatric Nurse Practitioner in Mora, MN
• Providers in Mora, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.