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Shannon M. Kelly-Schug, G.N.P.

NPI 1891779567ActiveIndividual· Nurse Practitioner, Gerontology· St Louis Park, MN

Nurse Practitioner, Gerontology (G.N.P.) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. In 2024 Medicare paid $29,384 for 50 patients, and Part D covered 539 of their prescriptions, 82% of them generic. Lists Park Nicollet Methodist Hospital as a hospital affiliation.

Overview

NPI1891779567
StatusActive
Entity typeIndividual
CredentialG.N.P.
Sole proprietorNo
NPI issuedDec 6, 2005
Last updated in NPPESFeb 13, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600XR120875-9MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients50
Services billed367 across 6 procedure codes
Paid by Medicare$29,384

Part D prescriptions in 2024

Prescriptions (claims)539 · 544 30-day fills
Patients80
Total drug cost$36,268
Generic share82% of claims

Medicare sources and data years

Education and affiliations

Graduation year1995
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other gerontology nurse practitioners in St Louis Park

All 23 gerontology nurse practitioners in St Louis Park · All gerontology nurse practitioners in Minnesota