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

Shannon Rose Petroske, NP

Individual provider Family Nurse Practitioner · NPI 1962854075

Shannon Rose Petroske, NP is a Nurse Practitioner in Hibbing, Minnesota. Qualified in 2016, 10 years ago. Practices with Range Regional Health Services, a 346-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

750 E 34th St
Hibbing, MN 55746-2341
Phone: (218) 362-6898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP4645 (MN)

Record details

NPI number1962854075
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESJune 14, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Range Regional Health Services — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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