SHANNON WALOWSKI MSN, APNP, AGPCNP-BC
NPI 1073056909
Nurse Practitioner in Wauwatosa, WI

Active since November 26, 2016PECOS Enrolled
830 N 109TH ST STE 1, WAUWATOSA, WI 53226(414) 777-1811(414) 777-1812 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 25, 2017 and 2 more (5 updates tracked since 2016).

About Shannon Walowski Msn, Apnp, Agpcnp-bc NPPES

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

SHANNON WALOWSKI MSN, APNP, AGPCNP-BC (NPI 1073056909) is an individual nurse practitioner in Wauwatosa, Wisconsin, licensed in Wisconsin (7131-33) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1073056909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON WALOWSKICredential: MSN, APNP, AGPCNP-BC
Location Address830 N 109TH ST STE 1Wauwatosa, WI 53226-3754
Mailing Address830 N 109th St, Ste 1Wauwatosa, WI 53226-3754 · (414) 777-1811 · Fax (414) 777-1812
Fax(414) 777-1812
Sole ProprietorYes
Enumeration DateNovember 26, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1073056909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 7131-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 7131-33 (WI)
830 N 109TH ST STE 1, Wauwatosa, WI 53226

Secondary Practice Location 1

Location 12405 Northwestern Ave, #LL30Racine, WI 53404-2534 · Phone (262) 260-8370 · Fax (262) 260-8538

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Walowski Msn, Apnp, Agpcnp-bc 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 53226 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$15.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Counselor (Professional)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Counselor (Professional)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Counselor (Mental Health)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226

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 Shannon Walowski's NPI number?

The NPI number for Shannon Walowski is 1073056909. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Shannon Walowski located?

Shannon Walowski practices at 830 N 109th St Ste 1, Wauwatosa, WI 53226. The listed phone number is (414) 777-1811.

What is Shannon Walowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Walowski enrolled in Medicare?

Yes. Shannon Walowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Walowski was last updated on July 21, 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.