DR. SHAWN LEE HOFER (PH.D., L.P.) – Clinical Psychologist, NPI 1760493936

DR. SHAWN LEE HOFER (PH.D., L.P.) is a healthcare provider. based in New brighton, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., L.P.. They hold a License No. LP 4695 (MN). The NPI Number for DR. SHAWN LEE HOFER (PH.D., L.P.) is 1760493936

Main info

Male
22 Years Of Experience
Name
DR. SHAWN LEE HOFER (PH.D., L.P.)
NPI
1760493936
Phone
(651) 482-9361
Address
900 LONG LAKE RD STE 320
Enumeration Date
11 August 2006
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514829361
Graduation Year
2004 (22 years ago)
PAC ID
4486659976
Group Practice PAC ID
3173429214
Professional Enrollment ID
I20060915000092
Address ID
MN551126439NE900XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. SHAWN LEE HOFER (PH.D., L.P.)

  • Long Lake Rd, County Road D West, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 551126439

    Phone: (651) 482-9361

    Fax: (651) 482-9888

    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)

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: 2006-09-15

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
I20060915000092IClinical PsychologistMNTBD

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

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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 55112)

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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: 3173429214View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
-MN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Can I cross-check DR. SHAWN LEE HOFER (PH.D., L.P.) using NPI 1760493936?
NPI 1760493936 belongs to DR. SHAWN LEE HOFER (PH.D., L.P.); compare other details if you need extra assurance.
Is there an active status for DR. SHAWN LEE HOFER (PH.D., L.P.)?
For scheduling context, DR. SHAWN LEE HOFER (PH.D., L.P.) is shown as active in the registry.
What kind of doctor is DR. SHAWN LEE HOFER (PH.D., L.P.)?
DR. SHAWN LEE HOFER (PH.D., L.P.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SHAWN LEE HOFER (PH.D., L.P.)?
Directory geography for DR. SHAWN LEE HOFER (PH.D., L.P.) centers on New Brighton, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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