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

Shanna Rachelle Vidor, MD

Individual provider Family Medicine Physician · NPI 1215229729

Shanna Rachelle Vidor, MD is a Family Practice in Nett Lake, Minnesota. Graduated from University of North Dakota School of Medicine in 2011, 15 years ago. Practices with Bois Forte Reservation Tribal Government, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Trained at
University of North Dakota School of Medicine
Licensed in
MN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5219 St John Dr
Nett Lake, MN 55772-8232
Phone: (218) 757-3295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 55689 (MN)

Record details

NPI number1215229729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2011
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Bois Forte Reservation Tribal Government — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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