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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1301 2nd St NENew Prague, MN 56071-1709 · Phone (952) 758-4431
Location 23930 Northwoods DrArden Hills, MN 55112-6963 · Phone (952) 853-8800
Location 3405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000
Location 4535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 52500 Como AveSaint Paul, MN 55108-1460 · Phone (952) 853-8800
Location 6640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3666
Location 7205 Wabasha St SSaint Paul, MN 55107-1805 · Phone (952) 853-8800
Location 88450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (952) 853-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Shannon Tomfohrde reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeview Memorial Hospital Association Inc.
Same address
Neonatal
927 CHURCHILL ST W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 94 clinicians in this Medicare group
NPI 1821114729 (651) 430-4529
Group Health, Inc.
0.1 mi
Family Medicine
921 GREELEY STREET
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1427420181 (Wisconsin)
  • 2,274 clinicians in this Medicare group
NPI 1578932943 (651) 439-1234
Hudson Hospital, Inc.
7.8 mi
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1396849303 (Wisconsin)
  • 158 clinicians in this Medicare group
NPI 1255532875 (715) 531-6000
Regions Hospital
9.0 mi
Ambulatory Surgical
233 RADIO DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
NPI 1649035643 (651) 254-7400
Westfields Hospital, Inc.
14 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600
St. Croix Regional Medical Center
26 mi
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
NPI 1043240922 (715) 483-3221
Amery Regional Medical Center, Inc.
28 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000

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 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
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 439-1234
KRISTIN ANN MILLER RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4602
MRS. MARY ELIZABETH MILLER
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
SARAH LYNN DAHLKE
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
MARK D WOJTOWICZ MD
Anesthesiology
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4585
BEAU W TROESCH RRT
Respiratory Therapist, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-7190
KATHLEEN ANN MEAD RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
ST. CROIX RADIOLOGY CONSULTANTS, LLC
Clinic/Center (Radiology)
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4617

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 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.

Where is Shannon Tomfohrde located?

Shannon Tomfohrde practices at 927 Churchill St W, Stillwater, MN 55082. The listed phone number is (651) 430-4529.

What is Shannon Tomfohrde's specialty?

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

Is Shannon Tomfohrde enrolled in Medicare?

Yes. Shannon Tomfohrde is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Tomfohrde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Tomfohrde reassigns Medicare benefits to 7 organizations: Lakeview Memorial Hospital Association Inc. (Stillwater, MN), Group Health, Inc. (Stillwater, MN), Hudson Hospital, Inc. (Hudson, WI), Regions Hospital (Woodbury, MN), Westfields Hospital, Inc. (New Richmond, WI) and 2 more organizations, listed in the Medicare section above. 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 Tomfohrde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.