Shelly L Anderson (NPI# 1073594966, PAC ID# 9436041373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073594966 |
| PAC ID by PECOS | 9436041373 |
| Professional Enrollment ID | I20100927001518 |
| Full Name | Shelly L Anderson |
| Organization Legal Name | NORTHWEST FAMILY PHYSICIANS PA |
| Address |
1495 County Rd 101 Plymouth MN 55447-3078 |
| Phone Number | 7635046600 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042102956 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1495 County Rd 101, Plymouth, MN 55447-3078 | 7635046600 | NORTHWEST FAMILY PHYSICIANS PA |
| Organization Legal Name | NORTHWEST FAMILY PHYSICIANS PA |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elisabeth J Mcclean | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
| William G Larsen | Family Medicine | Northwest Family Physicians Pa | 7920 Moores Chapel Rd, Charlotte, NC 28214-9453 |
| Melanie A Hoiland | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Karin K Filip | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Kristen L Coulter | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
| Catherine M Pollock | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Chris A Stuart | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Ruby W Tam | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
| Joel A Sagedahl | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
| Gregory J Frane | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Street Address |
1495 COUNTY RD 101 |
| City | PLYMOUTH |
| State | MN |
| Zip | 55447-3078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Hoiland | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Karin K Filip | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Catherine M Pollock | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Chris A Stuart | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Gregory J Frane | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Jennifer J Riley | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Sara L Budhoo | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Jennifer L Chung | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Yazdaan R Juma | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Scott A Reichel | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reese R Shanahan | Chiropractic | 16795 County Rd, 24 Suite 120, Plymouth, MN 55447-1204 | |
| Michael V Dimucci | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16895 County Rd, Suite 24, Plymouth, MN 55447-1290 |
| Cynthia Good | Family Medicine | Medexpress Urgent Care Minnesota PC | 16895 County Rd, Suite 24, Plymouth, MN 55447-1290 |
| Tate M Herman | Optometry | 16875 County Rd 24, Suite 301, Plymouth, MN 55447-1292 | |
| James R Ciavarella | Chiropractic | 3515 Plymouth Blvd, Suite 206, Plymouth, MN 55447-1382 | |
| Benton D Mccone | Chiropractic | 3535 Plymouth Blvd, Suite 110, Plymouth, MN 55447-1393 | |
| Rabia B Khan | Internal Medicine | North Memorial Health Care | 15535 - 34th Ave N, Plymouth, MN 55447-1481 |
| Susan J Obrien | Nurse Practitioner | North Memorial Health Care | 15535 - 34th Ave N, Plymouth, MN 55447-1481 |
| Michael R Wolfson | Internal Medicine | North Memorial Health Care | 15535 - 34th Ave N, Plymouth, MN 55447-1481 |
| Jeanne L Barss | Maxillofacial Surgery | Minnesota Head and Neck Pain Clinic, Pa | 3475 Plymouth Blvd, Suite 200, Plymouth, MN 55447-1539 |
| Find all physicians in zip 55447 | |||
| City | PLYMOUTH |
| Zip Code | 55447 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLYMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shelly L Anderson.
| 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.