DR. SHANNON MICHAEL CARROLL-ROLFE DPT
NPI 1639658412
Physical Therapist - Orthopedic in Eden Prairie, MN
About Dr. Shannon Michael Carroll-rolfe Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON MICHAEL CARROLL-ROLFE DPT (NPI 1639658412) is an individual orthopedic provider in Eden Prairie, Minnesota, licensed in Minnesota (11245) and active in the NPI registry since August 2018. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon Michael Carroll-rolfe Dpt 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shannon Carroll-rolfe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eden Prairie, MN 55344
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 124 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.
Areas of Expertise CMS Part B claims 6
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.
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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDEN PRAIRIE, MN 55346
EDEN PRAIRIE, MN 55346
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 Carroll-rolfe's NPI number?
The NPI number for Shannon Carroll-rolfe is 1639658412. It was assigned to this individual provider in the NPPES registry on August 12, 2018. The provider is also known as Shannon Michael Carroll.
Where is Shannon Carroll-rolfe located?
Shannon Carroll-rolfe practices at 16550 W 78th St Ste B, Eden Prairie, MN 55346. The listed phone number is (952) 873-7400.
What is Shannon Carroll-rolfe's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Shannon Carroll-rolfe enrolled in Medicare?
Yes. Shannon Carroll-rolfe 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.
Which organizations bill Medicare for Shannon Carroll-rolfe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Carroll-rolfe reassigns Medicare benefits to 3 organizations: Fairview Express Care (Eden Prairie, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Outpatient Services, LLC (Saint Paul, 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 Carroll-rolfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Carroll-rolfe accept?
Health plans from Sanford Health Plan list Shannon Carroll-rolfe 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 Carroll-rolfe was last updated on January 27, 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.
# Dr. Shannon Michael Carroll-Rolfe, DPT · NPI 1639658412
Orthopedic provider in Eden Prairie, Minnesota. Individual provider, active in the CMS NPPES registry since August 12, 2018.
## Identity
- **NPI:** 1639658412 (Entity type: Individual)
- **Enumerated:** August 12, 2018
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 11245 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 16550 W 78TH ST STE B, Eden Prairie, MN 55346-4316
- **Phone:** (952) 873-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1710293402, Eden Prairie, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Outpatient Services, LLC (NPI 1225382526, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 27, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1639658412) · Data from the CMS NPPES public registry.