DR. SHANNON THERESA LAU (MD) – Obstetrics & Gynecology Physician, NPI 1114022746

DR. SHANNON THERESA LAU (MD) is a healthcare provider. based in Northfield, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. RT-1486 (NH). The NPI Number for DR. SHANNON THERESA LAU (MD) is 1114022746

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON THERESA LAU (MD)
NPI
1114022746
Phone
(507) 646-1000
Address
2000 NORTH AVE
Enumeration Date
14 September 2006
Last Update Date
31 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5073335499
Graduation Year
2005 (21 years ago)
PAC ID
9436203882
Group Practice PAC ID
2567372998
Professional Enrollment ID
I20170406002983
Address ID
MN550211846FA1980XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

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Provider Addresses for DR. SHANNON THERESA LAU (MD)

  • North Avenue, Northfield, Adelaide, City of Port Adelaide Enfield, South Australia, 5085, Australia

    NORTHFIELD, MN 550571498

    Phone: (507) 646-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: CooperSurgical, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperSurgical, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2017-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170406002983IObstetrics/GynecologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 55057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567372998View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Addiction MedicineMN
Orthopedic SurgeryNE
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
O T O L A R Y N G O L O G YMN

Reviews

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Frequently asked questions

What identifier follows DR. SHANNON THERESA LAU (MD) across health systems?
The NPI 1114022746 uniquely identifies DR. SHANNON THERESA LAU (MD) in U.S. healthcare data.
Does the public listing show DR. SHANNON THERESA LAU (MD) as active?
DR. SHANNON THERESA LAU (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. SHANNON THERESA LAU (MD) provide?
DR. SHANNON THERESA LAU (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SHANNON THERESA LAU (MD) in Northfield, Minnesota?
For routing, start with Northfield, Minnesota for DR. SHANNON THERESA LAU (MD), then verify phone and hours locally.
Who maintains DR. SHANNON THERESA LAU (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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