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

Shayna Marie Lovdahl, PA-C

Individual provider Physician Assistant · NPI 1104128701

Shayna Marie Lovdahl, PA-C is a Physician Assistant in Montevideo, Minnesota. Qualified in 2010, 16 years ago. Practices with Ccm Health, a 62-clinician group. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

824 N 11th St
Montevideo, MN 56265-1629
Phone: (320) 321-8422
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10859 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104128701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2010
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ccm Health — 62 clinicians
Accepts Medicare assignment Not indicated

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