IndividualActive
Shannon Mackey-Bojack, M.D.
NPI 1194745174 · Anatomic Pathology & Clinical Pathology Physician · Saint Paul, MN
Provider details
- NPI number
- 1194745174
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 43421 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 Smith Ave N
Room 4625
Saint Paul, MN 55102-2344
Phone: (651) 241-5568
Fax: (651) 241-7114
Street-level locationGet directions
Mailing address
333 Smith Ave N Rm 4625
Saint Paul, MN 55102-2344
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2015-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.