SHEILA M CAVALLARO (PAC) – Dermatology Physician, NPI 1154386001

SHEILA M CAVALLARO (PAC) is a healthcare provider. based in Lakeville, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9897 (MN). The NPI Number for SHEILA M CAVALLARO (PAC) is 1154386001

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SHEILA M CAVALLARO (PAC)
NPI
1154386001
Phone
(952) 469-5033
Address
20520 KEOKUK AVE STE 104
Enumeration Date
20 April 2006
Last Update Date
14 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073732270
Graduation Year
2004 (22 years ago)
PAC ID
5698730430
Group Practice PAC ID
9830196575
Professional Enrollment ID
I20041122000459
Address ID
MN560072070AL2718XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for SHEILA M CAVALLARO (PAC)

  • Keokuk Avenue, Lakeville, Dakota County, Minnesota, 55044, United States

    LAKEVILLE, MN 550446085

    Phone: (952) 469-5033

    Fax: (952) 469-5069

    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 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-11-22

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
I20041122000459IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths38972$0
99213Established patient office or other outpatient visit, 20-29 minutes218150$0
17000Destruction of precancer skin growth, 1 growth137101$0
11102Biopsy of related skin growth, first growth5957$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
View full utilization report →

Insurance plans in this area (ZIP 55044)

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Provider's Procedures

SHEILA M CAVALLARO (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN11101Biopsy of each additional growth of skin and/or tissue2413
PHYSICIAN ASSISTANTMN17003Destruction of 2-14 skin growths22238

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: 9830196575View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is SHEILA M CAVALLARO (PAC)'s NPI number?
SHEILA M CAVALLARO (PAC)'s NPI is 1154386001 — the number used across U.S. healthcare to identify this provider.
Would SHEILA M CAVALLARO (PAC) appear as active to a payer?
You can treat SHEILA M CAVALLARO (PAC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SHEILA M CAVALLARO (PAC)?
SHEILA M CAVALLARO (PAC)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is SHEILA M CAVALLARO (PAC) registered?
Use Lakeville, Minnesota as the headline location for SHEILA M CAVALLARO (PAC) here.
Can I trust this NPI listing for SHEILA M CAVALLARO (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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