DAVID PAUL SHAFFER
NPI 1952070559
Student in an Organized Health Care Education/Training Program in Rosemount, MN

Active since September 08, 2021PECOS Enrolled
14107 COBBLER AVE, ROSEMOUNT, MN 55068(612) 419-8565 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Paul Shaffer NPPES

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

DAVID PAUL SHAFFER (NPI 1952070559) is an individual student in an organized health care education/training program in Rosemount, Minnesota and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952070559
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID PAUL SHAFFER
Location Address14107 COBBLER AVERosemount, MN 55068-7129
Mailing Address14107 Cobbler AveRosemount, MN 55068-7129 · (612) 419-8565
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
NPI 1952070559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14107 COBBLER AVE, Rosemount, MN 55068

Accepted 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)

David Paul Shaffer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507213279
PECOS Enrollment IDI20231117000820
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952070559, enumerated as an "individual" on September 08, 2021.

The provider is located at 14107 COBBLER AVE ROSEMOUNT, MN 55068 and the phone number is (612) 419-8565.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.