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Shanna Rachelle Vidor, M.D.

Family Medicine Physician in Nett Lake, MN · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215229729

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Registry record

Entity type Individual (Type 1)
Name Shanna Rachelle Vidor
Credential M.D.
Sex Female
Practice address 5219 St John Drive, Nett Lake, MN, 55772
Phone (218) 757-3295
Enumeration date May 3, 2011
Last updated in NPPES Jun 18, 2020

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 55689 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1215229729 Medicaid MN -
P01105126 Other MN RAILROAD MEDICARE
1215229729 Other - MEDICA
1215229729 Other MN BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Shanna Vidor practice?
The practice location on file with NPPES is in Nett Lake, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shanna Vidor?
The National Provider Identifier (NPI) for Shanna Vidor is 1215229729, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-18.