Shannon Noelle Plantenberg, NP
NPI 1891524435ActiveIndividual· Nurse Practitioner· Saint Louis Park, MN
Nurse Practitioner (NP) with Park Nicollet Clinic and 1 other group, practicing in Saint Louis Park, Minnesota. Mostly services rather than prescriptions: Medicare paid $3,630 for 18 patients in 2024, with only 43 Part D claims. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1891524435 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 31, 2024 |
| Last updated in NPPES | Jan 18, 2026 |
| Certified by provider | Jan 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11992 | MN |
| Nurse Practitioner, Adult Health | 363LA2200X | 11992 | MN |
| Nurse Practitioner, Adult Health | 363LA2200X | 0000000 | MN |
| Nurse Practitioner, Gerontology | 363LG0600X | 11992 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 37 across 7 procedure codes |
| Paid by Medicare | $3,630 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 45 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $3,252 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Group Health IncBloomington, MN · 1,638 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Other facilities
- Our Lady of Peace Home CareHome health agency · Saint Paul, MN
- Park Nicollet Methodist Hospital Care SvcsHome health agency · Minneapolis, MN
- Healthpartners Hospice and Palliatice CareHospice · Bloomington, MN
- Park Nicollet Methodist HospitalHospice · Saint Louis Park, MN
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 Saint Louis Park
- 1376996736
- 1558271304
- 1245664630
- 1508265331
- 1043800022
- 1700652096