SHANE FRANK COLVIN MD
NPI 1013400845
Pediatrics in Sturgeon Bay, WI

Active since June 06, 2018PECOS Enrolled
323 S 18TH AVE, STURGEON BAY, WI 54235(920) 746-0510 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Jun 28, 2021, Dec 20, 2019 (3 updates tracked since 2019).

About Shane Frank Colvin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE FRANK COLVIN MD (NPI 1013400845) is an individual pediatrics provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (72370) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Algoma.

NPPES Registry Identity

NPI1013400845
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHANE FRANK COLVINCredential: MD
Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 746-0510
Sole ProprietorNo
Enumeration DateJune 6, 2018
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1013400845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 72370
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
323 S 18TH AVE, Sturgeon Bay, WI 54235

Secondary Practice Location 1

Location 1815 Jefferson StAlgoma, WI 54201-1733 · Phone (920) 487-3496

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shane Frank Colvin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Lactation Consultant)
323 S 18TH AVE
STURGEON BAY, WI 54235
Specialist/Technologist (Athletic Trainer)
323 S 18TH AVE
STURGEON BAY, WI 54235
Pharmacist
323 S 18TH AVE
STURGEON BAY, WI 54235
Internal Medicine
323 S 18TH AVE
STURGEON BAY, WI 54235
Obstetrics & Gynecology
323 S 18TH AVE
STURGEON BAY, WI 54235
Emergency Medicine
323 S 18TH AVE
STURGEON BAY, WI 54235
Skilled Nursing Facility
323 S 18TH AVE
STURGEON BAY, WI 54235
Internal Medicine (Rheumatology)
323 S 18TH AVE
STURGEON BAY, WI 54235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Colvin's NPI number?

The NPI number for Shane Colvin is 1013400845. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Shane Colvin located?

Shane Colvin practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-0510.

What is Shane Colvin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shane Colvin enrolled in Medicare?

Yes. Shane Colvin is registered in the Medicare PECOS enrollment system.

What insurance does Shane Colvin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Shane Colvin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Colvin was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.