Individual provider Active NPI

Shannon S Meyer, DPM

  • Podiatrist
  • Woodruff, WI
National Provider Identifier
1316933542
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
726-25 Issued in WI
Practice address
311 Elm St
Woodruff, WI 54568-9149
Phone
(715) 634-9023
Fax
(715) 634-9935
NPI assigned
Sep 22, 2005
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 726-25 WI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 726-25 WI

Addresses

Primary practice location

311 Elm St
Woodruff, WI 54568-9149

Mailing address

7428 Loon Landing Shores
Lake Tomahawk, WI 54539-9110
Phone (877) 265-5225

Other identifiers 2

IdentifierTypeStateIssuer
CG4176OtherRAILROAD MEDICARE
43222500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000837 WI Practitioner - Podiatry 4486550613 Reassigns benefits to 6 organizations
I20160411000479 TX Practitioner - Podiatry 4486550613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians
Lac Courte Oreilles Governing BoardGroup PAC ID 7810983517, 19 clinicians
Lac Vieux Desert Band of Lake Superior Chippewa IndiansGroup PAC ID 2567629181, 16 clinicians

Practice addresses (Care Compare)

129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386
Phone (715) 588-3371

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone (715) 478-5180

36745 Aiken Rd
Bayfield, WI 54814-4579
Phone 71577937072324

53585 Nokomis Rd
Ashland, WI 54806-4272
Phone (715) 682-7133

8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Phone (715) 478-4300

9940 N County Hwy K
Hayward, WI 54843-4277
Phone (715) 638-5100

N5241 US Hwy
Watersmeet, MI 49969-0009
Phone (906) 358-4588

N5241 US Hwy 45
Watersmeet, MI 49969-5115
Phone (906) 358-4587

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue129
Removal or shaving of skin growth38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
726-25WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sokaogon Chippewa Community CurrentSince Mar 1, 2019 Accepting new patients
Lac Vieux Desert Band of Lake Superior Chippewa Indians CurrentSince Mar 31, 2022 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Jul 21, 2013 Accepting new patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Jul 24, 2009 Accepting new patients
Lac Courte Oreilles Governing CurrentSince Feb 1, 2010 Accepting new patients
Forest County Potawatomi Community Podiatrist CurrentSince Jul 24, 2000 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Jul 21, 2013 Accepting new patients
Forest County Potawatomi Health & Wellness Center CurrentSince Jul 24, 2000 Accepting new patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Jul 24, 2009 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis CurrentSince Feb 22, 2016 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. CurrentSince Feb 22, 2016 Accepting new patients
St. Croix Tribal Council CurrentSince Mar 13, 2010 Accepting new patients
Comprehensive Foot & Ankle, SC Podiatrist Past Accepting new patients

Locations

N5241 US Highway 45
Watersmeet, MI 49969
Phone (906) 358-4587

53585 Nokomis Rd
Ashland, WI 54806
Phone (715) 682-7133

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

3144 Vanzile Rd
Crandon, WI 54520
Phone (715) 478-5180

3163 State Highway 55
Crandon, WI 54520
Phone (715) 478-5180

8201 Mish Ko Swen Dr
Crandon, WI 54520
Phone (715) 478-4300

9940N County Road K
Hayward, WI 54843
Phone (715) 638-5100

533 Peace Pipe Rd
Lac du Flambeau, WI 54538
Phone (715) 588-1511

129 Old Abe Rd
Lac du Flambu, WI 54538
Phone (715) 588-3371

4404 State Road 70
Webster, WI 54893
Phone (715) 349-8554

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8439/brand/1/csg/21/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753
  • Direct secure messaging: s.meyer@brhwc.directbygreenway.com
  • Direct secure messaging: shannon.meyer.1@8439.direct.athenahealth.com
  • Direct secure messaging: shannon.meyer@schc.directbygreenway.com
  • Direct secure messaging: smeyer@lcohc.directbygreenway.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1316933542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 LOON LANDING SHORES",
            "city": "LAKE TOMAHAWK",
            "state": "WI",
            "postal_code": "545399110",
            "telephone_number": "877-265-5225",
            "fax_number": "715-277-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ELM ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689149",
            "telephone_number": "715-634-9023",
            "fax_number": "715-634-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SHANNON",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "726-25",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "726-25",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43222500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

Verify at the official NPI Registry.