SHANNON L KLINGSPORN MD
NPI 1104881168
Family Medicine in Oakdale, MN
About Shannon L Klingsporn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON L KLINGSPORN MD (NPI 1104881168) is an individual family medicine provider in Oakdale, Minnesota, licensed in Minnesota (40034) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon L Klingsporn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Shannon Klingsporn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakdale, MN 55128
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Klingsporn's NPI number?
The NPI number for Shannon Klingsporn is 1104881168. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is Shannon Klingsporn located?
Shannon Klingsporn practices at 1099 Helmo Ave N Suite 100, Oakdale, MN 55128. The listed phone number is (651) 326-5300.
What is Shannon Klingsporn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shannon Klingsporn enrolled in Medicare?
Yes. Shannon Klingsporn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Klingsporn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Klingsporn reassigns Medicare benefits to 4 organizations: Healtheast Medical Research Institute (Oakdale, MN), Healtheast St. John's Hospital (Maplewood, MN), Fairview Bethesda Hospital (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Klingsporn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Klingsporn accept?
Health plans from Sanford Health Plan list Shannon Klingsporn 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 Klingsporn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shannon L Klingsporn, MD · NPI 1104881168
Family Medicine physician in Oakdale, Minnesota. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1104881168 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 40034 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1099 HELMO AVE N, SUITE 100, Oakdale, MN 55128-6033
- **Phone:** (651) 326-5300 · **Fax:** (651) 326-5350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1073569935, Oakdale, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Fairview Bethesda Hospital (NPI 1194787465, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104881168) · Data from the CMS NPPES public registry.