SHANNON ELTON (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1245300250

SHANNON ELTON (NURSE PRACTITIONER) is a healthcare provider. based in Willmar, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. R1296428 (MN). The NPI Number for SHANNON ELTON (NURSE PRACTITIONER) is 1245300250

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON ELTON (NURSE PRACTITIONER)
NPI
1245300250
Phone
(320) 231-5079
Address
AFFILIATED COMMUNITY MEDICAL CENTERS
Enumeration Date
8 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202315000
Graduation Year
2003 (23 years ago)
PAC ID
0244125516
Group Practice PAC ID
8426457946
Professional Enrollment ID
I20040216001247
Address ID
MN562013556WI101XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SHANNON ELTON (NURSE PRACTITIONER)

  • AFFILIATED COMMUNITY MEDICAL CENTERS

    101 WILLMAR AVE SW

    WILLMAR, MN 56201

    Phone: (320) 231-5079

    Fax: (320) 231-5067

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040216001247INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 56201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426457946View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Family PracticeMN
N E U R O L O G YMN
Nurse PractitionerMN
Internal MedicineMN
General SurgeryMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for SHANNON ELTON (NURSE PRACTITIONER) in the U.S.?
In the U.S., SHANNON ELTON (NURSE PRACTITIONER) is identified by NPI 1245300250.
Quick check: is SHANNON ELTON (NURSE PRACTITIONER) active?
Public NPPES data shows SHANNON ELTON (NURSE PRACTITIONER) with an active NPI status right now.
What type of care does SHANNON ELTON (NURSE PRACTITIONER) provide?
SHANNON ELTON (NURSE PRACTITIONER)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANNON ELTON (NURSE PRACTITIONER) tied to Willmar, Minnesota?
If you are local to Willmar, Minnesota, SHANNON ELTON (NURSE PRACTITIONER) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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