MANISHA DHARMESH SHAH (NURSE PRACTITIONER) – Primary Care Nurse Practitioner, NPI 1093361875
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MANISHA DHARMESH SHAH (NURSE PRACTITIONER)
270 MAIN ST N STE 300
STILLWATER, MN 550826788
Phone: (651) 342-1039
Fax: (651) 342-1428
Type: Mailing
18649, Jacques Court, Wyndham Nob, Eden Prairie, Hennepin County, Minnesota, 55346, United States
EDEN PRAIRIE, MN 553461127
Phone: (952) 457-4502
Type: Mailing
Main Street North, Stillwater, Washington County, Minnesota, 55082, United States
STILLWATER, MN 550826788
Phone: (651) 342-1039
Fax: (651) 342-1428
Type: Location
2008 WILHELM COURT
SHAKOPEE, MN 55379
Phone: (952) 457-4502
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $7,000.
Total Amount is formed as General ($7,000) + Research ($0) + Ownership ($0) = $7,000.
Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Boston Scientific Corporation ($7,000).
Total Amount
$7,000
General + Research + Ownership
Payments
1
Total payment records
General Amount
$7,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $7,000 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-24
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Physician Assistant | PA | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN |
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