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DR. SHANDA RAE DORFF M.D.
NPI 1760657498
Family Medicine in Shoreview, MN

Active since April 23, 2008Opted out of Medicare · through Apr 1, 2028
4700 LEXINGTON AVE N STE C, SHOREVIEW, MN 55126(651) 756-9595(651) 340-8529 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2020, Jun 11, 2019, Oct 31, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Shanda Rae Dorff M.d. NPPES

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

DR. SHANDA RAE DORFF M.D. (NPI 1760657498) is an individual family medicine provider in Shoreview, Minnesota, licensed in Minnesota (52481) and active in the NPI registry since April 2008. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2008).

NPPES Registry Identity

NPI1760657498
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANDA RAE DORFFCredential: M.D.
Location Address4700 LEXINGTON AVE N STE CShoreview, MN 55126-5964
Mailing AddressPo Box 270653Vadnais Heights, MN 55127-0653 · (651) 756-9595 · Fax (651) 340-8529
Phone(651) 756-9595
Fax(651) 340-8529
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2008
Enumeration DateApril 23, 2008
Last NPPES UpdateDecember 22, 20204 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1760657498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 52481✔ Licensed in WI · 70139-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4700 LEXINGTON AVE N STE C, Shoreview, MN 55126
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Other Names 1

Former Name (1)Dr. Shanda Rae Lawson M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shanda Rae Dorff M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

COMPLEX CARES LLC
Clinic/Center (Medical Specialty)
4700 LEXINGTON AVE N STE C
SHOREVIEW, MN 55126
Ramsey County (651) 756-9595

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 Shanda Dorff's NPI number?

The NPI number for Shanda Dorff is 1760657498. It was assigned to this individual provider in the NPPES registry on April 23, 2008. The provider is also known as Dr. Shanda Rae Lawson M.D..

Where is Shanda Dorff located?

Shanda Dorff practices at 4700 Lexington Ave N Ste C, Shoreview, MN 55126. The listed phone number is (651) 756-9595.

What is Shanda Dorff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shanda Dorff enrolled in Medicare?

No. Shanda Dorff has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shanda Dorff was last updated on December 22, 2020. 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.