Individual provider Active NPI

Shelly Marie Monnens, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1679899017
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000585 Issued in SD
Practice address
1315 S Cliff Ave
Suite 1300
Sioux Falls, SD 57105-1058
Phone
(605) 322-8988
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000585 SD Primary

Addresses

Primary practice location

1315 S Cliff Ave
Suite 1300
Sioux Falls, SD 57105-1058

Mailing address

1315 S Cliff Ave
Ste 1300
Sioux Falls, SD 57105-1058
Phone (605) 322-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100602000274 SD Practitioner - Nurse Practitioner 3274662101 Reassigns benefits to 2 organizations
I20171213000029 MN Practitioner - Nurse Practitioner 3274662101 Practice locations: Litchfield, MN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St MarysGroup PAC ID 0143134965, 97 clinicians

Practice addresses (Care Compare)

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901

Hospital & facility affiliations

  • Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3548MNMDOptometrist
CP000585SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Oct 31, 2019 Accepting new patients
Avera McKennan CurrentSince Mar 1, 2015 Accepting new patients
Avera St Marys Current Accepting new patients
Avera St Marys CurrentSince Oct 31, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Mar 1, 2015 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Interoperability endpoints

  • Direct secure messaging: shelly.monnens@avera.sdhealthlink.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1679899017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S CLIFF AVE",
            "address_2": "STE 1300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051058",
            "telephone_number": "605-322-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S CLIFF AVE",
            "address_2": "SUITE 1300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051058",
            "telephone_number": "605-322-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNENS",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.