Shannon Evenson, OTR, L
NPI 1770632507ActiveIndividual· Occupational Therapist· Vadnais Heights, MN
Occupational Therapist (OTR, L) with Summit Orthopedics, Ltd, practicing in Vadnais Heights, Minnesota. Medicare paid $7,366 for services to 35 patients in 2024.
Overview
| NPI | 1770632507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR, L |
| Sole proprietor | No |
| NPI issued | Jan 10, 2007 |
| Last updated in NPPES | Feb 2, 2023 |
| Certified by provider | Feb 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 106813 | MN |
| Occupational Therapist | 225X00000X | 4439-026 | WI |
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 - Occupational Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 345 across 13 procedure codes |
| Paid by Medicare | $7,366 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Summit Orthopedics, LtdSaint Paul, MN · 282 clinicians
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