Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shanequa Boone

Individual provider Primary Care Nurse Practitioner · NPI 1174059919

Mrs. Shanequa Boone is a Nurse Practitioner in Minnetonka, Minnesota. Qualified in 2020, 6 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2017
Specialties on file
3

Practice location Address checks out

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone: (516) 333-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403688-01 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 341543 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 341543 (NY)

Record details

NPI number1174059919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jewish Board Of Family And Childrens Services Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Minnetonka