CULLEN RICHARD SHANROCK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1083298673

CULLEN RICHARD SHANROCK (DPM) is a healthcare provider. based in Lake tomahawk, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1339-25 (WI). The NPI Number for CULLEN RICHARD SHANROCK (DPM) is 1083298673

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CULLEN RICHARD SHANROCK (DPM)
NPI
1083298673
Phone
(651) 564-2094
Address
7428 LOON LANDING SHRS
Enumeration Date
10 May 2021
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
71577937072324
Graduation Year
2021 (5 years ago)
PAC ID
8022543735
Group Practice PAC ID
4284537580
Professional Enrollment ID
I20241120000560
Address ID
WI548144579BA36745RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

297 PODIATRY in WI

Provider Addresses for CULLEN RICHARD SHANROCK (DPM)

  • 7428 LOON LANDING SHRS

    LAKE TOMAHAWK, WI 545399110

    Phone: (651) 564-2094

    Type: Mailing

  • 311 ELM ST

    WOODRUFF, WI 545689149

    Phone: (651) 564-2094

    Type: Location

  • 800 POLY PL

    BROOKLYN, NY 112097104

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Orthofix Medical, Inc. ($150).

Total Amount

$170

General + Research + Ownership

Payments

4

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-20

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: 2024-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241118004150IPodiatryTXTBD
I20241120000560IPodiatryWITBD

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 54539)

Loading plans...

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: 4284537580View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
Physical Therapist In Private PracticeWI
General PracticeMI
Physician AssistantWI
-AZ
P O D I A T R YWI
Marriage And Family TherapistWI
Internal MedicineMN
P O D I A T R YWI
Marriage And Family TherapistWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for CULLEN RICHARD SHANROCK (DPM) in U.S. healthcare records?
The official identifier for CULLEN RICHARD SHANROCK (DPM) is NPI 1083298673.
Is CULLEN RICHARD SHANROCK (DPM) still an active registrant?
CULLEN RICHARD SHANROCK (DPM) carries an active NPI according to the public dataset.
What clinical focus is listed for CULLEN RICHARD SHANROCK (DPM)?
At a glance, CULLEN RICHARD SHANROCK (DPM) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is CULLEN RICHARD SHANROCK (DPM) associated with Lake Tomahawk?
Public fields place CULLEN RICHARD SHANROCK (DPM) around Lake Tomahawk, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CULLEN RICHARD SHANROCK (DPM) is noted as May 10, 2021 where the registry provides it.

Similar Providers

1200 OAKLEAF WAY STE A
NPI: 1699778829
OakLeaf Way, River Prairie Townhomes, Altoona, Eau Claire County, Wisconsin, 54720, United States
NPI: 1366445587
8153, South 27th Street, Franklin, Milwaukee County, Wisconsin, 53132, United States
NPI: 1164426763
Green Bay Road, Kenosha, Kenosha County, Wisconsin, 53142, United States
NPI: 1821092420
2430C N GRANDVIEW BLVD # C
NPI: 1457356305

JEFFREY P HALL (DPM)

Foot & Ankle Surgery Podiatrist
PO BOX 735044
NPI: 1568467512