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Active NPI 1982622791 Individual Practitioner Female Practitioner

Shannon Hackett , OTRL

Occupational Therapist • St Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Hackett, OTRL is a certified Occupational Therapist practicing in St Cloud, MN. With approximately 35 years of clinical experience since completing medical education in 1991, Shannon Hackett delivers high-quality medical care to the local community at 3701 12TH STREET N.

Shannon Hackett is affiliated with Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, application of hot wax bath, evaluation for occupational therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3701 12th Street N
Suite 100

St Cloud, MN 56303

Telephone 3202537257
Fax 3202512938
Associated Practice Facility / Clinic
🏢 Midsota Surgical Suites Pa Facility NPI 1952329757

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in St Cloud, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +1.0 yrs vs City Avg
City Avg: 34.0 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
3 Specialists

Practicing in St Cloud, MN (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hackett (35 Years) 35 Yrs
St Cloud Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
47 29 $114.04 $28.74
97018 Application of hot wax bath
40 20 $25.00 $3.90
97165 Evaluation for occupational therapy, typically 30 minutes
11 11 $349.43 $99.71

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID P One
1044152
Commercial Insurance / Payer ID Medica
6405829
Commercial Insurance / Payer ID Bcbs
182G6HA
Commercial Insurance / Payer ID Metrahealth Mpin
670000341
Commercial Insurance / Payer ID Railroad Medicare
P00282811

Hospital & Practice Group Affiliations

Centracare Clinic

3701 12th St N, Saint Cloud, MN 563032253

Phone: 3202537257

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Henry Yang , MD

Plastic Surgery

NPI 1003863366

Doctor of Medicine (M.D.)

Dr. James Smith , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1033137849

Doctor of Medicine (M.D.)

Dr. Paul Schultz , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1053339861

Doctor of Medicine (M.D.)

Dr. John Houle , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073531885

Doctor of Medicine (M.D.)

Dr. Liana Lugo , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1093954877

Doctor of Medicine (M.D.)

Roxanne Boser , NP-C

Nurse Practitioner - Family

NPI 1134558109

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2008

Registered at 3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303 (Tel: 3202537257)

📍
Updated Business Mailing Address February 14, 2008

Registered at 3701 12TH STREET N, SUITE 100, ST CLOUD, MN 56303 (Tel: 3202537257)

👤
Provider Name / Credentials Updated February 14, 2008

Recorded as SHANNON HACKETT, OTRL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2008

Occupational Therapist

🟢
Initial NPI Registration & Enumeration July 18, 2006

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: 1982622791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: February 14, 2008
Sole Proprietor: No

Mailing Address

3701 12th Street N, Suite 100

St Cloud, MN 56303

Phone: 3202537257

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.