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Shannon Nelson, OTR
NPI 1104029388 · General Acute Care Hospital · Red Lake, MN
Shannon Nelson, OTR is a General Acute Care Hospital provider in Red Lake, MN (NPI 1104029388).
Provider details
- NPI number
- 1104029388
- Entity type
- Individual
- Primary specialty
- General Acute Care HospitalHospitals
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 102239 (MN)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Highway 1 Box 497
Red Lake, MN 56671
Phone: (218) 679-3316
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 299
Bagley, MN 56621-0299
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shannon Nelson's NPI number?
- Shannon Nelson's National Provider Identifier (NPI) is 1104029388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Nelson's specialty?
- Shannon Nelson is listed in the NPPES registry with a primary specialty of General Acute Care Hospital (Hospitals).
- Where is Shannon Nelson located?
- Shannon Nelson's practice location on file with NPPES is Highway 1 Box 497, Red Lake, MN 56671.
- What is Shannon Nelson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Nelson is (218) 679-3316.
- Is Shannon Nelson's NPI active?
- Yes — Shannon Nelson's NPI (1104029388) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.