SHANNON TOMFOHRDE (M.D.) – Emergency Medicine Physician, NPI 1871942771
Emergency Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON TOMFOHRDE (M.D.)
927 CHURCHILL ST W
STILLWATER, MN 550826605
Phone: (651) 430-4529
Type: Location
301 2nd St NE
New Prague, MN 560711709
Phone: (952) 758-4431
Type: Location
8450 Seasons Pkwy
Woodbury, MN 551254402
Phone: (952) 853-8800
Type: Location
640 Jackson St
Saint Paul, MN 551012502
Phone: (651) 254-3666
Type: Location
405 Stageline Rd
Hudson, WI 540167848
Phone: (715) 531-6000
Type: Location
535 Hospital Rd
New Richmond, WI 540171449
Phone: (715) 243-2600
Type: Location
3930 Northwoods Dr
Arden Hills, MN 551126963
Phone: (952) 853-8800
Type: Location
2500 Como Ave
Saint Paul, MN 551081460
Phone: (952) 853-8800
Type: Location
205 Wabasha St S
Saint Paul, MN 551071805
Phone: (952) 853-8800
Type: Location
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
SAINT PAUL, MN 551012502
Phone: (651) 254-3666
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190604001141 | I | Emergency Medicine | MN | TBD |
| I20221221001503 | I | Emergency Medicine | WI | TBD |
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.
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 55082)
Loading plans...
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.