SHANNON MINNEHAN (CRNA, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1538493374

SHANNON MINNEHAN (CRNA, PMHNP-BC) is a healthcare provider. based in St louis park, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, PMHNP-BC. They hold a License No. 082484 (MN). The NPI Number for SHANNON MINNEHAN (CRNA, PMHNP-BC) is 1538493374

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MINNEHAN (CRNA, PMHNP-BC)
NPI
1538493374
Phone
(612) 306-1888
Address
5775 WAYZATA BLVD STE 875
Enumeration Date
27 September 2009
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128711145
Graduation Year
2009 (17 years ago)
PAC ID
5092852616
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20091029000600
Address ID
MN554132197MI3001XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for SHANNON MINNEHAN (CRNA, PMHNP-BC)

  • 5775 WAYZATA BLVD STE 875

    ST LOUIS PARK, MN 554161235

    Phone: (612) 306-1888

    Type: Location

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541450

    Phone: (612) 672-2281

    Type: Location

  • 3316, Zarthan Avenue South, Sorensen, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162065

    Phone: (612) 306-1888

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-10-29

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
I20091029000600ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YMN
Pediatric Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

Where can patients find SHANNON MINNEHAN (CRNA, PMHNP-BC)'s NPI?
You can confirm SHANNON MINNEHAN (CRNA, PMHNP-BC) with NPI 1538493374; it appears in the national provider directory.
Is SHANNON MINNEHAN (CRNA, PMHNP-BC) active in the national directory?
SHANNON MINNEHAN (CRNA, PMHNP-BC)'s public NPI profile is in an active state.
Does SHANNON MINNEHAN (CRNA, PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for SHANNON MINNEHAN (CRNA, PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where is SHANNON MINNEHAN (CRNA, PMHNP-BC)'s primary listing?
We display St Louis Park, Minnesota because that is what the record indicates for SHANNON MINNEHAN (CRNA, PMHNP-BC).
Is SHANNON MINNEHAN (CRNA, PMHNP-BC) a real provider?
This page reflects official NPPES data for NPI 1538493374. Always confirm identity and privileges with the practice and licensing boards.

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