Active NPI
Shaye Sisneros, AGPCNP-BC
- Gerontology Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 9215
- Practice address
- 225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568 - Phone
- (651) 290-0133
- Fax
- (651) 241-2910
- NPI assigned
- Jan 30, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 2494733 | MN | |
| Adult Health Nurse Practitioner | 363LA2200X | 9215 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 9215 | MN | Primary |
Addresses
Primary practice location
225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
9201 E Mountain View Rd
Scottsdale, AZ 85258-5199
Phone (877) 564-3627
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssisneros571534@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100
225 Smith Ave N
Suite 400
St Paul, MN 55102-2568
Phone (651) 241-7176
Hospital & facility affiliations
- Allina United Hospital
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2494733 | MN | MD | Medical-Surgical Registered Nurse |
| 9215 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Ladd Memorial Hospital | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
1540 Lake St S
Forest Lake, MN 55025
Phone (651) 464-7100
1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176
4194 Lexington Ave N
Shoreview, MN 55126
Phone (651) 483-5461
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Interoperability endpoints
- ssisneros571534@excellian.direct.allina.com
Organizations & group practices 9
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
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1053354985
-
- Social Worker
- Minneapolis, MN
- NPI 1114479920
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- Clinic/Center
- Scandia, MN
- NPI 1700195542
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1740996149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"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": "225 SMITH AVE N STE 400",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022568",
"telephone_number": "651-290-0133",
"fax_number": "651-241-2910"
}
],
"practiceLocations": [
{
"address_1": "9201 E Mountain View Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585199",
"country_code": "US",
"telephone_number": "877-564-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SISNEROS",
"first_name": "SHAYE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MN",
"license": "2494733",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "9215",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "9215",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssisneros571534@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "225 Smith Ave N Ste 400",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551022568",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 13, 2025; 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.