Shannon Beasley, CPNP, PHN, CDE
NPI 1659409563 · Pediatric Nurse Practitioner · Minneapolis, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Beasley, CPNP, PHN, CDE is a Pediatric Nurse Practitioner provider in Minneapolis, MN (NPI 1659409563).
Provider details
- NPI number
- 1659409563
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP, PHN, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 3938 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2019-12-04
Frequently asked questions
- What is Shannon Beasley's NPI number?
- Shannon Beasley's National Provider Identifier (NPI) is 1659409563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Beasley's specialty?
- Shannon Beasley is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Beasley located?
- Shannon Beasley's practice location on file with NPPES is 516 Delaware St. Se, Minneapolis, MN 55455.
- What is Shannon Beasley's phone number?
- The practice phone number listed in the NPPES registry for Shannon Beasley is (612) 626-5609.
- Does Shannon Beasley accept Medicare?
- Shannon Beasley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Beasley's NPI active?
- Yes — Shannon Beasley's NPI (1659409563) is active in the NPPES registry as of the last update on 2019-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.