Active NPI
Shannon Marie Patchen, CNP
- Nurse Practitioner
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6452
- Practice address
- 7590 Lyric LN NE
Fridley, MN 55432-3251 - Phone
- (763) 236-4300
- NPI assigned
- Jul 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 6452 | MN | |
| Nurse Practitioner | 363L00000X | 6452 | MN | Primary |
Addresses
Primary practice location
7590 Lyric LN NE
Fridley, MN 55432-3251
Mailing address
2925 Chicago Avenue
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
7590 Lyric LN NE
Fridley, MN 55432-3251
Phone (763) 236-4300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Shannon.patchen@allinahealth.com |
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
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
Practice addresses (Care Compare)
520 Osborne Rd NE
Suite 120
Fridley, MN 55432-2718
Phone (763) 236-4300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6452 | MN | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
520 Osborne Rd NE
Ste 120
Fridley, MN 55432
Phone (763) 236-4300
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
7590 Lyric Ln NE
Minneapolis, MN 55432
Phone (763) 236-3800
Interoperability endpoints
- spatchen129976@excellian.direct.allina.com
- shannon.patchen@allinahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Physical Medicine & Rehabilitation Physician
- St Paul, MN
- NPI 1962659094
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1679125157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVENUE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 LYRIC LN NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323251",
"telephone_number": "763-236-4300"
}
],
"practiceLocations": [
{
"address_1": "7590 Lyric LN NE",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554323251",
"country_code": "US",
"telephone_number": "763-236-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATCHEN",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "6452",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "6452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Shannon.patchen@allinahealth.com",
"affiliation": "N",
"address_1": "550 Osborne Rd NE",
"city": "Fridley",
"state": "MN",
"country_code": "US",
"postal_code": "554322718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.