Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Shannon M Kelly-Schug, GNP

Individual provider Gerontology Nurse Practitioner · NPI 1891779567

MS. Shannon M Kelly-Schug, GNP is a Gerontology Nurse Practitioner in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
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Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527 Not confirmed with CMS for 13 years — call before visiting
Phone: (952) 993-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R120875-9 (MN)

Record details

NPI number1891779567
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESFebruary 13, 2013

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients50
Services billed 367 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in St Louis Park