KELLY A SHEFLAND CNP NPI 1699766295

NPI Information

NPI: 1699766295
Provider Name: KELLY A SHEFLAND, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 654-3630
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Kelly A Shefland, CNP is a family nurse practitioner in Saint Cloud, MN with 21 years of experience. Kelly A Shefland, CNP NPI is 1699766295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3630
Fax: (320) 654-3657

The NPI 1699766295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R1290479	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	50A45CE	OTHER	BLUE CROSS BLUE SHIELD
2	Q11433	MEDICARE UPIN
3	1040969	OTHER	PREFERRED ONE
4	166085	OTHER	U-CARE
5	293L4SH	OTHER	BLUE CROSS BLUE SHIELD
6	0117264	OTHER	MEDICA HEALTH PLANS
7	HP40007	OTHER	HEALTH PARTNERS
8	2121654	OTHER	ARAZ GROUP/AMERICA'S PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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