Individual provider Active NPI

Shelby Michele Fonley, APRN CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1487440699
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
626 Issued in MN
Practice address
624 Smith Ave S
Saint Paul, MN 55107-2620
Phone
(651) 689-3988
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0001X 626 MN Primary

Addresses

Primary practice location

624 Smith Ave S
Saint Paul, MN 55107-2620

Mailing address

2180 Highway 13 Unit 118
Mendota Heights, MN 55120-1132
Phone (352) 470-9261

Other practice location 1

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Birth Center Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sfonley834907@direct.ochin.org

Organizations & group practices 1

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1487440699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 HIGHWAY 13 UNIT 118",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201132",
            "telephone_number": "352-470-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SMITH AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072620",
            "telephone_number": "651-689-3988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073706",
            "country_code": "US",
            "telephone_number": "612-545-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONLEY",
        "first_name": "SHELBY",
        "middle_name": "MICHELE",
        "credential": "APRN CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.