SHELLY JOAN MYROM (CNP) – Nurse Practitioner, NPI 1508884917

Nurse Practitioner

SHELLY JOAN MYROM (CNP) is a healthcare provider. based in Faribault, Minnesota. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. R0848026 (MN). The NPI Number for SHELLY JOAN MYROM (CNP) is 1508884917

Main info

Female

29 Years Of Experience

Accepts Medicare Assignment

Name

SHELLY JOAN MYROM (CNP)

NPI

1508884917

Phone

(507) 333-3300

Address

300 STATE AVE

Enumeration Date

17 July 2006

Last Update Date

29 January 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5073333300

Graduation Year

1997 (29 years ago)

PAC ID

8820170004

Group Practice PAC ID

4385556703

Professional Enrollment ID

I20080126000081

Contacts

Secure Messaging

smyrom87451@ehrdirect.mayoclinicmsg.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness85

Years active:19State licenses:2Other namesUpdated within 12 months

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Provider Addresses for SHELLY JOAN MYROM (CNP)

State Avenue, Faribault, Rice County, Minnesota, 55021, United States
FARIBAULT, MN 550216319
Phone: (507) 333-3300
Fax: (507) 333-3214
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55021)

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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: 4385556703View full group profile

Name	Specialty	State
ELEANOR O VITA (MD)	-	MN
DR. CARRIE LYNN KERN	Family Practice	WI
BRADY MICHAEL GROSS (MPAS)	Physician Assistant	MN
BOSHENG YANG (M.D.)	-	MN
DR. DEBORAH ANN WINTERS (MD)	Diagnostic Radiology	TN
TODD DONALDSON MILLER (M.D.)	-	MN
KIM WANGEN	-	MN
REESE SARA DRUCKENMILLER (LICSW)	-	MN
KJERSTEN NETT (RD, LD)	-	MN
ALICE MARIE KAASA (CNP)	-	MN