SHANNON RADEKE CABRERA (MD) – Ophthalmology Physician, NPI 1457423782

SHANNON RADEKE CABRERA (MD) is a healthcare provider. based in Sartell, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 49115 (MN). The NPI Number for SHANNON RADEKE CABRERA (MD) is 1457423782

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON RADEKE CABRERA (MD)
NPI
1457423782
Phone
(320) 229-5120
Address
2000 23RD STREET SOUTH
Enumeration Date
14 November 2006
Last Update Date
27 April 2017

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3202295120
Graduation Year
2002 (24 years ago)
PAC ID
6608968672
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20070822000704
Address ID
MN563774765SA2000XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for SHANNON RADEKE CABRERA (MD)

  • CentraCare Sauk Crossing, 2000, 23rd Street South, Sartell, Stearns County, Minnesota, 56377, United States

    CENTRACARE CLINIC SAUK CROSSING

    SARTELL, MN 563774765

    Phone: (320) 229-5120

    Fax: (320) 200-3235

    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 4 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: ABIOMED ($119).

Total Amount

$146

General + Research + Ownership

Payments

4

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2007-08-22

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
I20070822000704IOphthalmologyMNTBD

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
92014Established patient complete exam of visual system414412$0
92134Imaging of retina291267$0
99214Established patient office or other outpatient visit, 30-39 minutes194127$0
92133Imaging of optic nerve153117$0
92136Measurement of corneal curvature and depth of eye5826$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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Provider's Procedures

SHANNON RADEKE CABRERA (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMN92083Measurement of field of vision during daylight conditions4945
OPHTHALMOLOGYMN92134Diagnostic imaging of retina4139

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: 2466363395View full group profile

Reviews

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Frequently asked questions

What NPI should I save for SHANNON RADEKE CABRERA (MD)?
Save NPI 1457423782 if you need a stable reference for SHANNON RADEKE CABRERA (MD).
Is SHANNON RADEKE CABRERA (MD)'s NPI currently valid?
The extract we use shows SHANNON RADEKE CABRERA (MD) as active.
What field does SHANNON RADEKE CABRERA (MD) work in?
You can think of SHANNON RADEKE CABRERA (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON RADEKE CABRERA (MD)?
The page summarizes Sartell, Minnesota for SHANNON RADEKE CABRERA (MD); expand the address list for detail.
Is SHANNON RADEKE CABRERA (MD) a real provider?
This page reflects official NPPES data for NPI 1457423782. Always confirm identity and privileges with the practice and licensing boards.

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