Shelby Gregg
Individual provider Active NPI Surgical Physician Assistant · Crosby, MN
NPI 1902649908 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1902649908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 320 E Main St
Crosby, MN 56441-1645 - Phone
- (218) 546-7000
- Fax
- (218) 546-4400
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cuyuna Regional Medical Center
Practice addresses (Care Compare)
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Hospital & facility affiliations
- Cuyuna Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210002447 | MN | Practitioner - Physician Assistant | 5496249195 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15575 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current |
Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current |
Accepting new patients |
Locations
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Yes |
Addresses
Primary practice location
320 E Main St
Crosby, MN 56441-1645
Mailing address
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000
Other providers in Crosby, MN
- David Daniel Goodwin
- Jacob Goodwin
- Monica Louise Goodwin
- Jack William Gordon
- Rebekah Lynn Gorny
- Mark W Gujer
- Bradley E Gustafson
- Ashley Laura Hanson
- Marcella M Hanson
- Nancy Heise
All providers in Crosby, MN · Surgical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.