Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sheila M Cavallaro, PAC

Individual provider Physician Assistant · NPI 1154386001

Sheila M Cavallaro, PAC is a Physician Assistant in Lakeville, Minnesota. Qualified in 2004, 22 years ago. Practices with Epiphany Dermatology of Minnesota LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

20520 Keokuk Ave Ste 104
Lakeville, MN 55044-6085
Phone: (952) 469-5033
Fax: (952) 469-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9897 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154386001
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Epiphany Dermatology Of Minnesota Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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