Individual provider

Shelly Hansen, CNNP

Critical Care Neonatal Nurse Practitioner Neonatal Nurse Practitioner Medicare enrolled

Shelly Hansen, CNNP is a Critical Care Neonatal Nurse Practitioner in St Paul, MN, registered under NPI 1114983749. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 347 NORTH SMITH AVE CHILDRENS SPECIALTY CLINIC NICU, St Paul, MN 55102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

347 NORTH SMITH AVE CHILDRENS SPECIALTY CLINIC NICU, St Paul, MN 55102 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R1271278 MN Critical Care Neonatal Nurse Practitioner primary
R1271278 MN Neonatal Nurse Practitioner

This provider holds licence R1271278 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
6103154786

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Neonatal, Critical Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LN0005X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Neonatal, Critical Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LN0005X Critical Care Neonatal Nurse Practitioner Neonatal, Critical Care R1271278 MN primary
363LN0000X Neonatal Nurse Practitioner Neonatal R1271278 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114983749 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 22, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialCNNP
Practice address 347 NORTH SMITH AVE
CHILDRENS SPECIALTY CLINIC NICU
St Paul, MN 55102
(651) 220-6210
Fax (651) 220-7777
Mailing address 2910 CENTRE POINTE DR 35-121A CHILDRENS HEALTH CARE
Roseville, MN 55113
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1114983749 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 9 8 3 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 9 8 6 7 8

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114983749?
NPI 1114983749 is the National Provider Identifier assigned to Shelly Hansen, CNNP in St Paul, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neonatal, Critical Care cover?
Definition to come...
How do I contact Shelly Hansen, CNNP?
The phone number on file with NPPES is (651) 220-6210, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shelly Hansen, CNNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114983749 a valid number?
Yes. 1114983749 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.