Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972181246 Individual Practitioner Male Practitioner

Shane Peterson

Driver • Mora, MN

Professional Overview & Biography Verified Profile Summary

Shane Peterson is a registered healthcare professional specializing in Driver in Mora, MN. Practice services are available at 325 WATKINS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 Watkins St

Mora, MN 550511553

Telephone 3204384493

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Mora, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Mora, MN (239 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2021

Registered at 325 WATKINS ST, MORA, MN 550511553 (Tel: 3204384493)

📍
Updated Business Mailing Address March 30, 2021

Registered at 325 WATKINS ST, MORA, MN 550511553 (Tel: 3204384493)

👤
Provider Name / Credentials Updated March 30, 2021

Recorded as SHANE PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Driver

🟢
Initial NPI Registration & Enumeration March 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972181246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2021
Last Update: March 30, 2021
Sole Proprietor: Yes

Mailing Address

325 Watkins St

Mora, MN 550511553

Phone: 3204384493

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.