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

Q: 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.

Q: What is Shannon Walowski's specialty?

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

Q: 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.

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: November 01, 2026.

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

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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

Phone(414) 777-1811

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Walowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Milwaukee Internal Medicine Associates Inc

3.1 mi

Multi-Specialty

7733 W BURLEIGH ST
Milwaukee, WI 53222

Reassigned Medicare billing, Wisconsin enrollment
20 clinicians in this Medicare group

NPI 1457531345 (414) 837-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5

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

NATASHA EVE HIRTE LPC, CSAC

Counselor (Professional)