Active NPI
Shelby Schermerhorn
- Physician Assistant
- Pelican Rapids, MN
National Provider Identifier
1497592091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 42110 210TH Ave
Pelican Rapids, MN 56572-7426 - Phone
- (218) 329-6452
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
42110 210TH Ave
Pelican Rapids, MN 56572-7426
Mailing address
42110 210TH Ave
Pelican Rapids, MN 56572-7426
Phone (218) 329-6452
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients |
Locations
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770
712 S Cascade St
Fergus Falls, MN 56537
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Perham, MN
- NPI 1790799518
-
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Chiropractor
- Fergus Falls, MN
- NPI 1568353738
-
- Durable Medical Equipment & Medical Supplies
- Fergus Falls, MN
- NPI 1942191119
-
- Family Medicine Physician
- Perham, MN
- NPI 1457631814
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1497592091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42110 210TH AVE",
"city": "PELICAN RAPIDS",
"state": "MN",
"postal_code": "565727426",
"telephone_number": "218-329-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42110 210TH AVE",
"city": "PELICAN RAPIDS",
"state": "MN",
"postal_code": "565727426",
"telephone_number": "218-329-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERMERHORN",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelican Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.