SHANNON WELTER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1386873958

SHANNON WELTER (MD) is a healthcare provider. based in Plymouth, Minnesota. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 68273 (MN). The NPI Number for SHANNON WELTER (MD) is 1386873958

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON WELTER (MD)
NPI
1386873958
Phone
(612) 720-8885
Address
820 Brockton Ln N
Enumeration Date
4 July 2009
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
6126727422
Graduation Year
2009 (17 years ago)
PAC ID
4880080514
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20220406001461
Address ID
MN554550363MI500XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

518 PATHOLOGY in MN

Provider Addresses for SHANNON WELTER (MD)

  • 820 Brockton Ln N

    Plymouth, MN 554473343

    Phone: (612) 720-8885

    Type: Location

  • 820 BROCKTON LN N

    PLYMOUTH, MN 554473343

    Phone: (612) 720-8885

    Type: Mailing

  • 6401 FRANCE AVE S

    EDINA, MN 554352104

    Phone: (952) 924-5000

    Type: Location

  • Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States

    NMCSD

    SAN DIEGO, CA 921341098

    Phone: (612) 720-8885

    Type: Location

  • La Jolla Commons, 4747, Executive Drive, Golden Triangle, University City, San Diego, San Diego County, California, 92121, United States

    F409

    LA JOLLA, CA 920371364

    Phone: (612) 720-8885

    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: 2022-04-06

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
I20220406001461IPathologyMNTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity143110$0
88341Special stained specimen slides to examine tissue, each additional procedure9333$0
88307Pathology examination of tissue using a microscope, moderately high complexity8340$0
88360Microscopic genetic analysis of tumor, manual7827$0
88342Special stained specimen slides to examine tissue, initial procedure7149$0
View full utilization report →

Insurance plans in this area (ZIP 55447)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

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Frequently asked questions

Does SHANNON WELTER (MD) have a public NPI I can cite?
Public records show SHANNON WELTER (MD) under NPI 1386873958.
Is SHANNON WELTER (MD)'s NPI status active today?
Active status means SHANNON WELTER (MD)'s NPI record is not deactivated in the public file.
How should patients interpret SHANNON WELTER (MD)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for SHANNON WELTER (MD). Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON WELTER (MD) in Plymouth, Minnesota?
For routing, start with Plymouth, Minnesota for SHANNON WELTER (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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