Tricia Jean Shoutz, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0614082 Issued in MN

Practice address

410 30TH Ave E
Alexandria, MN 56308-4769

Phone

(320) 259-1670

NPI assigned

Jun 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1790199024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-259-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUTZ",
        "first_name": "TRICIA",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F0614082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lyn Shelley, CNM
• Sherie Carlson PHD LP PLLC
• Breanna Rose Shockman
• Lindsey Sholts
• Shoptikal LLC (Shopko Optical 4273)
• Christopher Leigh Siegel, ATC, CSCS, EMT
• Destiny Sieracki
• Ryan Silbernick, D.C.
• Trudy D Sirany, MD
• Jennifer Lorraine Skaden

• Family Nurse Practitioner in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.