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SHANNON MARTINA RAPALO MEDINA LICSW
NPI 1104531458
Social Worker - Clinical in Milwaukee, WI

Active since January 20, 2023PECOS Enrolled
5404 N LOVERS LANE RD STE 10, MILWAUKEE, WI 53225(218) 332-4771 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Jan 20, 2023 (2 updates tracked since 2023).

About Shannon Martina Rapalo Medina Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARTINA RAPALO MEDINA LICSW (NPI 1104531458) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Minnesota (26538) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104531458
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON MARTINA RAPALO MEDINACredential: LICSW
Location Address5404 N LOVERS LANE RD STE 10Milwaukee, WI 53225-3006
Mailing Address5404 N Lovers Lane Rd Ste 10Milwaukee, WI 53225-3006 · (218) 332-4771 · Fax (612) 486-7103
Phone(218) 332-4771
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1104531458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 26538
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5404 N LOVERS LANE RD STE 10, Milwaukee, WI 53225
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Secondary Practice Locations 2

Location 16417 Penn Ave S Ste 7-1055Minneapolis, MN 55423-1186 · Phone (218) 332-4771 · Fax (612) 486-7103
Location 25155 E River Rd Ste 401Fridley, MN 55421-3777 · Phone (763) 913-9184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Martina Rapalo Medina Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486008455
PECOS Enrollment IDI20260528001973
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Rapalo Medina's NPI number?

The NPI number for Shannon Rapalo Medina is 1104531458. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Shannon Rapalo Medina located?

Shannon Rapalo Medina practices at 5404 N Lovers Lane Rd Ste 10, Milwaukee, WI 53225. The listed phone number is (218) 332-4771.

What is Shannon Rapalo Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Rapalo Medina enrolled in Medicare?

Yes. Shannon Rapalo Medina is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Rapalo Medina accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Shannon Rapalo Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Rapalo Medina was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.