SHANDON HALLAND (RN, CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962735753

SHANDON HALLAND (RN, CNP) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CNP. They hold a License No. RN2261823 (MA). The NPI Number for SHANDON HALLAND (RN, CNP) is 1962735753

Main info

Male
16 Years Of Experience
Name
SHANDON HALLAND (RN, CNP)
NPI
1962735753
Phone
(651) 230-8615
Address
1439 PALACE AVE
Enumeration Date
10 September 2009
Last Update Date
17 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512911979
Graduation Year
2010 (16 years ago)
PAC ID
7517150048
Group Practice PAC ID
4284734880
Professional Enrollment ID
I20101018000157
Address ID
MN551011667SA166XXEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for SHANDON HALLAND (RN, CNP)

  • 1439, West Palace Avenue, Macalester - Groveland, Saint Paul, Ramsey County, Minnesota, 55105, United States

    SAINT PAUL, MN 551052556

    Phone: (651) 230-8615

    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: 2010-10-18

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
I20101018000157INurse 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 55105)

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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: 4284734880View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHANDON HALLAND (RN, CNP)?
SHANDON HALLAND (RN, CNP) — NPI 1962735753 — is the standard way to identify this listing.
Is SHANDON HALLAND (RN, CNP) still practicing?
SHANDON HALLAND (RN, CNP) is currently listed as active in the public NPI registry.
What is SHANDON HALLAND (RN, CNP) best known for clinically?
Directory data describes SHANDON HALLAND (RN, CNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SHANDON HALLAND (RN, CNP) serve?
SHANDON HALLAND (RN, CNP)'s listing highlights Saint Paul, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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