Shalishah Stautz, FNP
NPI 1295419562ActiveIndividual· Nurse Practitioner· Minot, ND
Nurse Practitioner (FNP) with Billings Clinic Specialty Supplies and Services, LLC, practicing in Minot, North Dakota. 84 Medicare patients in 2024, $6,114 paid; nearly all of their 71 Part D prescriptions were generic (96%). Lists Billings Clinic Hospital as a hospital affiliation.
Overview
| NPI | 1295419562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Jan 5, 2024 |
| Certified by provider | Jan 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R40922 | ND |
| Nurse Practitioner, Family | 363LF0000X | R40922 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 146 across 20 procedure codes |
| Paid by Medicare | $6,114 |
Part D prescriptions in 2024
| Prescriptions (claims) | 71 · 77 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $687.01 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Billings Clinic Specialty Supplies and Services, LLCBillings, MT · 824 clinicians
Hospital affiliation
- Billings Clinic HospitalBillings, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Minot
- 1124995618
- 1841777273
- 1588925531
- 1598104119
- 1669139283
- 1356661474
- 1932296969
- 1215298914
- 1326602897
- 1114205978
- 1700618188
- 1851462014