DR. LISA M SHAKERIN (MD) – Obstetrics & Gynecology Physician, NPI 1982715777

DR. LISA M SHAKERIN (MD) is a healthcare provider. based in Crystal, Minnesota. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 34679 (MN). The NPI Number for DR. LISA M SHAKERIN (MD) is 1982715777

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M SHAKERIN (MD)
NPI
1982715777
Phone
(763) 587-7000
Address
5700 BOTTINEAU BLVD
Enumeration Date
31 August 2006
Last Update Date
18 June 2014

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7635877000
Graduation Year
1987 (39 years ago)
PAC ID
1557369287
Group Practice PAC ID
1355396110
Professional Enrollment ID
I20100226000121
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

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Provider Addresses for DR. LISA M SHAKERIN (MD)

  • NovaCare Rehabilitation, 5700, Bottineau Boulevard, Crystal, Hennepin County, Minnesota, 55429, United States

    #210

    CRYSTAL, MN 554293183

    Phone: (763) 587-7000

    Fax: (763) 587-7015

    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: 2010-02-26

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
I20100226000121IObstetrics/GynecologyMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55429)

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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: 1355396110View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Physician AssistantMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeNY
Registered Dietitian Or Nutrition ProfessionalMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What is the registry number for DR. LISA M SHAKERIN (MD)?
The registry entry for DR. LISA M SHAKERIN (MD) shows NPI 1982715777.
Does the public listing show DR. LISA M SHAKERIN (MD) as active?
DR. LISA M SHAKERIN (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. LISA M SHAKERIN (MD)'s listing?
DR. LISA M SHAKERIN (MD)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LISA M SHAKERIN (MD) tied to Crystal, Minnesota?
If you are local to Crystal, Minnesota, DR. LISA M SHAKERIN (MD) may be relevant to your search.
Why is information missing for DR. LISA M SHAKERIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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