Individual provider Active NPI

Steven J Shelver, MD

  • Family Medicine Physician
  • New London, MN
National Provider Identifier
1750357067
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22708 Issued in MN
Practice address
600 Peterson Pkwy
New London, MN 56273-7823
Phone
(320) 354-2222
Fax
(320) 354-2274
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22708 MN Primary

Addresses

Primary practice location

600 Peterson Pkwy
New London, MN 56273-7823

Mailing address

600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222

Other identifiers 1

IdentifierTypeStateIssuer
420592800MedicaidMN

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC Current Accepting new patients

Locations

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1750357067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETERSON PKWY",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737823",
            "telephone_number": "320-354-2222",
            "fax_number": "320-354-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETERSON PKWY",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737823",
            "telephone_number": "320-354-2222",
            "fax_number": "320-354-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELVER",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "22708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420592800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.