Active NPI
Shannon S Meyer, DPM
- Podiatrist
- Woodruff, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 726-25
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG4176 | Other | RAILROAD MEDICARE | |
| 43222500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 18 |
| Removal of nail tissue | 129 |
| Removal or shaving of skin growth | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726-25 | WI | MD | Podiatrist |
Practice roles
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
- https://api.platform.athenahealth.com/8439/brand/1/csg/21/fhir/r4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753
- s.meyer@brhwc.directbygreenway.com
- shannon.meyer.1@8439.direct.athenahealth.com
- shannon.meyer@schc.directbygreenway.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Ashland, WI
- NPI 1699701375
TX
-
dba Potawatomi Health & Wellness Center
- Federally Qualified Health Center (FQHC)
- Crandon, WI
- NPI 1285741306
Podiatrist
-
dba Lac Courte Oreilles Community Health Center
- Clinic/Center
- Hayward, WI
- NPI 1194830208
-
dba Peter Christensen Health Center
- Federally Qualified Health Center (FQHC)
- Lac Du Flambeau, WI
- NPI 1134235047
-
dba Red Cliff Community Health Center
- Federally Qualified Health Center (FQHC)
- Bayfield, WI
- NPI 1497744015
-
- Federally Qualified Health Center (FQHC)
- Crandon, WI
- NPI 1033115456
-
dba LVD Health Center
- Federally Qualified Health Center (FQHC)
- Watersmeet, MI
- NPI 1114071578
TX
-
- Federally Qualified Health Center (FQHC)
- Webster, WI
- NPI 1831170091
-
dba Bad River Clinic Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ashland, WI
- NPI 1780702829
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crandon, WI
- NPI 1376650499
-
dba Family Resource Center
- Federally Qualified Health Center (FQHC)
- Lac Du Flambeau, WI
- NPI 1306016563
-
dba Red Cliff Ambulance Service
- Land Ambulance
- Bayfield, WI
- NPI 1174672844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.