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

Shannon Lynn Gonnion, PA

Individual provider Physician Assistant · NPI 1558393157

Shannon Lynn Gonnion, PA is a Physician Assistant in Stillwater, Minnesota. Qualified in 1999, 27 years ago. Practices with Bluestone Physician Services PA, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
27
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Show map & directions

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

Additional practice locations (1)

  • 342 N Water St Ste 600, Milwaukee, WI 53202-5715 — (651) 342-1039

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9510 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 4565-23 (WI)

Record details

NPI number1558393157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Bluestone Physician Services Pa — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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