Shannon Marie Leininger

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6572 Issued in MN

Practice address

503 N Nokomis St
Alexandria, MN 56308-5118

Phone

(320) 762-0766

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1811535347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N NOKOMIS ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N NOKOMIS ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085118",
            "telephone_number": "320-762-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEININGER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6572",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "192.168.1,104",
            "affiliation": "N",
            "address_1": "199 Pine Ave",
            "city": "Miltona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563544505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Marie Larson, LMFT
• Tamara Nicole Larson, NONE
• Melissa Pui-Lum Lee
• Stephanie Pui-Kay Lee
• Legacy Hearing Center LLC
• Megan Lenz
• David Lawrence Leonard, D.D.S.
• Erin Marie Viere Lester, FNP
• Amy S Lewis, RN, FNP-BC
• Cheryl Ann Lewis, LADC

• 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 Mar 31, 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.