MARY C SHANNON-MYER – Clinical Social Worker, NPI 1548302276

MARY C SHANNON-MYER is a healthcare provider. based in Little canada, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 05318 (MN). The NPI Number for MARY C SHANNON-MYER is 1548302276

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MARY C SHANNON-MYER
NPI
1548302276
Phone
Not provided
Address
179 LITTLE CANADA RD E
Enumeration Date
12 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6125969438
Graduation Year
1993 (33 years ago)
PAC ID
7810177375
Group Practice PAC ID
7911892849
Professional Enrollment ID
I20110215001209
Address ID
MN554074385MI2215XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MARY C SHANNON-MYER

  • 179, Little Canada Road East, Little Canada, Ramsey County, Minnesota, 55117, United States

    #133

    LITTLE CANADA, MN 551171384

    Phone:

    Type: Mailing

  • 3300, County Road 10, Brooklyn Center, Hennepin County, Minnesota, 55429, United States

    #400

    BROOKLYN CENTER, MN 554293072

    Phone: (612) 596-0800

    Type: Location

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: 2011-02-15

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
I20110215001209IClinical Social WorkerMNTBD

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
90832Psychotherapy, 30 minutes8631$0
90837Psychotherapy, 1 hour6815$0
90834Psychotherapy, 45 minutes5826$0
View full utilization report →

Insurance plans in this area (ZIP 55117)

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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: 7911892849View full group profile
NameSpecialtyState
Clinical PsychologistMN
Nurse PractitionerMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Infectious DiseaseMN
-MN
Nurse PractitionerMN
-MN
-MN

Reviews

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Frequently asked questions

What federal number belongs to MARY C SHANNON-MYER?
The federal identifier for MARY C SHANNON-MYER is NPI 1548302276.
Is MARY C SHANNON-MYER's NPI currently valid?
The extract we use shows MARY C SHANNON-MYER as active.
What does MARY C SHANNON-MYER treat or focus on?
Patients typically see MARY C SHANNON-MYER under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY C SHANNON-MYER?
The page summarizes Little Canada, Minnesota for MARY C SHANNON-MYER; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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