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

Shannon Noelle Plantenberg, NP

Individual provider Adult Health Nurse Practitioner · NPI 1891524435

Shannon Noelle Plantenberg, NP is a Nurse Practitioner in Saint Louis Park, Minnesota. Qualified in 2024, 2 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3850 Park Nicollet Blvd
Saint Louis Park, MN 55416-2527
Phone: (952) 993-3400
Show map & directions

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

Additional practice locations (1)

  • 10981 4th St Ne Ste 104, Hanover, MN 55341-4092 — (763) 733-1242

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11992 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11992 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0000000 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 11992 (MN)

Record details

NPI number1891524435
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis Park