Shauna Marie Fellman (NPI# 1023511664, PAC ID# 2567725864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023511664 |
| PAC ID by PECOS | 2567725864 |
| Professional Enrollment ID | I20180419002539 |
| Full Name | Shauna Marie Fellman |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Address |
801 Broadway N Fargo ND 58102-3641 |
| Phone Number | 7012342000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284546151 |
| Number of Group Practice Members | 369 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 801 Broadway N, Fargo, ND 58102-3641 | 7012342000 | SANFORD CLINIC NORTH |
| 801 Broadway N, Fargo, ND 58102-3641 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jenna M Long | Nurse Practitioner | Sanford Clinic North | 100 St Ave Sw, Suite 2, Lamoure, ND 58458-7419 |
| Tamera A Ostenaa | Nurse Practitioner | Sanford Clinic North | 410 4th St Nw, Mahnomen, MN 56557-4208 |
| Daniel M Hoffman | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Morgan R Rinke | Nurse Practitioner | Sanford Clinic North | 820 4th St N, Fargo, ND 58102-4539 |
| Mridu Gandhi | Family Medicine | Sanford Clinic North | 929 Central Ave Nw, East Grand Forks, MN 56721-1917 |
| Ashish V Regulagadda | Nephrology | Sanford Clinic North | 736 Broadway N, Fargo, ND 58122-4421 |
| Mackenze J Cimbura | Physical Therapy | Sanford Clinic North | 904 5th Ave Ne, Jamestown, ND 58401-3437 |
| Carrie L Holt | Nurse Practitioner | Sanford Clinic North | 108 Viking Ave W, Ulen, MN 56585-0024 |
| Tara R Mertz-hack | Family Medicine | Sanford Clinic North | 420 S 7th St, Oakes, ND 58474-2024 |
| Street Address |
801 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip | 58102-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jaroslaw Nmn Mateuszczyk | Critical Care (intensivists) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Julie A Honeyman | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Panjini M Sivanna | Interventional Pain Management | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Marie L Brekken | Physician Assistant | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Todd D Underdahl | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Krishna Talluri | Hospitalist | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Devendranath R Mannuru | Hospitalist | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Amit Kaushal | Undefined Physician Type (specify) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Jordan Idso | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Peterson | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jennifer L Kringlie | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kathy M Smith | Clinical Social Worker | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Tracy L Kirchner | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jessie S Lindemann | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kristina Jean Gresh | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kayla M Weigel | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Douglas Marlin Griffin | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Travis Michael Helmers | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Courtney R Carpenter | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Find all physicians in zip 58102 | |||
| City | FARGO |
| Zip Code | 58102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FARGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shauna Marie Fellman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.