SHAUN TERRANCE OKEEFE (PAC, MPAS) – Physician Assistant, NPI 1023456456
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for SHAUN TERRANCE OKEEFE (PAC, MPAS)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 550822177
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Mailing
235 E STATE ST
SAINT CROIX FALLS, WI 540244117
Phone: (715) 483-3261
Fax: (715) 483-0507
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130809000039 | I | Physician Assistant | WI | 2023-08-31 |
| I20130812000422 | I | Physician Assistant | MN | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55082)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | IA | |
| Physician Assistant | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| Internal Medicine, Pediatric Medicine | MN | |
| - | WI | |
| - | WI | |
| Cardiac Electrophysiology | MN | |
| - | MN |
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