SHANNON B DAUN (MD) – Family Medicine Physician, NPI 1487636072

SHANNON B DAUN (MD) is a healthcare provider. based in Keshena, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 47250 (WI). The NPI Number for SHANNON B DAUN (MD) is 1487636072

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON B DAUN (MD)
NPI
1487636072
Phone
(715) 799-3361
Address
PO BOX 970
Enumeration Date
18 November 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6204892599
Group Practice PAC ID
2668459264
Professional Enrollment ID
I20041208000657
Address ID
WI541350970KEW3275BOXX701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for SHANNON B DAUN (MD)

  • PO BOX 970

    KESHENA, WI 541350970

    Phone: (715) 799-3361

    Fax: (715) 799-3099

    Type: Mailing

  • W3275 WOLF RIVER ROAD

    KESHENA, WI 54135

    Phone: (715) 799-3361

    Fax: (715) 799-3099

    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: 2004-12-08

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
I20041208000657IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8656$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6412$0
90480Admn sarscov2 vacc 1 dose6262$0
G0008Administration of influenza virus vaccine5656$0
90662Influenza vaccine split virus, preservative free5151$0
View full utilization report →

Insurance plans in this area (ZIP 54135)

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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: 2668459264View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Family PracticeWI
-WI
P S Y C H I A T R YWI
Family PracticeWI
Family PracticeWI
Nurse PractitionerWI
Family Practice, Osteopathic Manipulative MedicineWI
O P T O M E T R YWI
Family PracticeWI

Reviews

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Frequently asked questions

Where can patients find SHANNON B DAUN (MD)'s NPI?
You can confirm SHANNON B DAUN (MD) with NPI 1487636072; it appears in the national provider directory.
Is SHANNON B DAUN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHANNON B DAUN (MD)?
The page reflects Family Medicine Physician for SHANNON B DAUN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SHANNON B DAUN (MD)?
The snapshot lists Keshena, Wisconsin for SHANNON B DAUN (MD); download NPPES for the complete set.
Is SHANNON B DAUN (MD) a real provider?
This page reflects official NPPES data for NPI 1487636072. Always confirm identity and privileges with the practice and licensing boards.

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