SHANNON TOMFOHRDE M.D.
NPI 1871942771
Emergency Medicine in Stillwater, MN

Q: What is Shannon Tomfohrde's NPI number?

The NPI number for Shannon Tomfohrde is 1871942771. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Shannon Tomfohrde's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Tomfohrde was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 10, 2016PECOS Enrolled

927 CHURCHILL ST W, STILLWATER, MN 55082(651) 430-4529 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2020, May 23, 2019 (2 updates tracked since 2019).

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About Shannon Tomfohrde M.d. NPPES

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

SHANNON TOMFOHRDE M.D. (NPI 1871942771) is an individual emergency medicine provider in Stillwater, Minnesota, licensed in Minnesota (65442) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1871942771

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameSHANNON TOMFOHRDECredential: M.D.

Location Address927 CHURCHILL ST WStillwater, MN 55082-6605

Mailing Address640 Jackson StSaint Paul, MN 55101-2502

Phone(651) 430-4529

Sole ProprietorNo

Enumeration DateJune 10, 2016

Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1871942771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MN · 65442✔ Licensed in WI · 23147

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

927 CHURCHILL ST W, Stillwater, MN 55082

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Secondary Practice Locations 8

Location 1301 2nd St NENew Prague, MN 56071-1709 · Phone (952) 758-4431

Location 28450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (952) 853-8800

Location 33930 Northwoods DrArden Hills, MN 55112-6963 · Phone (952) 853-8800

Location 4405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000

Location 5640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3666

Location 62500 Como AveSaint Paul, MN 55108-1460 · Phone (952) 853-8800

Location 7205 Wabasha St SSaint Paul, MN 55107-1805 · Phone (952) 853-8800

Location 8535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Tomfohrde M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55082 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 20

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

MRS. ANIKA SCHULTE PHILLIPS RN, CNM

Advanced Practice Midwife