Active NPI
Shannon J Schwab, DO
- Family Medicine Physician
- North Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40982
- Practice address
- 1575 Lookout Dr
North Mankato, MN 56003-2503 - Phone
- (507) 625-8111
- Fax
- (507) 625-6282
- NPI assigned
- Dec 7, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q5925 | TX | |
| Family Medicine Physician | 207Q00000X | 40982 | MN | Primary |
Addresses
Primary practice location
1575 Lookout Dr
North Mankato, MN 56003-2503
Mailing address
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811
Other practice location 1
8288 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-7060
Other names 1
- Shannon J Kowal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40982 | MN | MD | Family Medicine Physician |
| Q5925 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Iha Health Services Corporation | Family Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Ross Summers MD PLLC | Family Medicine | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660
308 S Main St
Northville, MI 48167
Phone (248) 349-0627
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
5570 State St
Saginaw, MI 48603
Phone (989) 583-0100
Interoperability endpoints
- sschwab109949@christushealth.direct-ci.net
- sschwab114915@direct.covenanthealthcare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Family Medicine Physician
- Northville, MI
- NPI 1295865954
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Urgent Care Clinic/Center
- Saginaw, MI
- NPI 1831244466
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Family Medicine Physician
- Brighton, MI
- NPI 1164579207
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1548245012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8674",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028674",
"telephone_number": "507-625-1811",
"fax_number": "507-625-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 LOOKOUT DR",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560032503",
"telephone_number": "507-625-8111",
"fax_number": "507-625-6282"
}
],
"practiceLocations": [
{
"address_1": "8288 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "75703",
"country_code": "US",
"telephone_number": "903-606-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWAB",
"first_name": "SHANNON",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q5925",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "40982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "KOWAL",
"middle_name": "J",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.