1. Home
  2. Directory
  3. Minnesota
  4. Fridley
  5. Psychologist
  6. NPI Profile

DR. SHANNON THOMAS WOULFE PH.D., LP
NPI 1225593825
Psychologist - Clinical in Fridley, MN

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
550 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-5000 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 11, 2021, Feb 7, 2019 (2 updates tracked since 2019).

About Dr. Shannon Thomas Woulfe Ph.d., Lp NPPES

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

DR. SHANNON THOMAS WOULFE PH.D., LP (NPI 1225593825) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (4673) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of University Of North Dakota School Of Medicine (2003).

NPPES Registry Identity

NPI1225593825
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON THOMAS WOULFECredential: PH.D., LP
Location Address550 OSBORNE RD NEFridley, MN 55432-2718
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(763) 236-5000
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2003
Enumeration DateFebruary 7, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1225593825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 4673
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
550 OSBORNE RD NE, Fridley, MN 55432
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Thomas Woulfe Ph.d., Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537402730
PECOS Enrollment IDI20190509001568
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
265 services82 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA JEANNE HOUFEK
Occupational Therapist
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3000
DR. THEODORE A LONGINOW M.D.
Internal Medicine
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-5000
ALLINA HEALTH SYSTEM
Pharmacy (Specialty Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4111
LESLIE ANNE BETTERMAN PA-C
Physician Assistant (Medical)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3518
ALLINA HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4111
KIMBERLY ANN FRANKLIN DNP
Nurse Practitioner
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-5000
UNITY HOSPITAL
General Acute Care Hospital
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4515
DR. FARAH N. MOMEN M.D.
Internal Medicine
550 OSBORNE RD NE, RT. 52840
FRIDLEY, MN 55432
Anoka County (763) 236-5000

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 Woulfe's NPI number?

The NPI number for Shannon Woulfe is 1225593825. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Shannon Woulfe located?

Shannon Woulfe practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-5000.

What is Shannon Woulfe's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shannon Woulfe enrolled in Medicare?

Yes. Shannon Woulfe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shannon Woulfe affiliated with any hospitals?

According to CMS data, Shannon Woulfe is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Woulfe was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.