MATTHEW SHEAFER APNP
NPI 1073405601
Nurse Practitioner in Mequon, WI

Active since July 17, 2025PECOS EnrolledAccepts Medicare Assignment
11430 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 518-1900 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Sheafer Apnp NPPES

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

MATTHEW SHEAFER APNP (NPI 1073405601) is an individual nurse practitioner in Mequon, Wisconsin, licensed in Wisconsin (17086-33) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073405601
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATTHEW SHEAFERCredential: APNP
Location Address11430 N PORT WASHINGTON RDMequon, WI 53092-3414
Mailing Address11430 N Port Washington RdMequon, WI 53092-3414
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 17, 2025
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1073405601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 17086-33
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.
11430 N PORT WASHINGTON RD, Mequon, WI 53092

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 and accepts Medicare assignment

Matthew Sheafer Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911497698
PECOS Enrollment IDI20251111000691
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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.

Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Family Medicine
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Pediatrics
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Anesthesiology (Pain Medicine)
11430 N PORT WASHINGTON RD
MEQUON, WI 53092

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 Matthew Sheafer's NPI number?

The NPI number for Matthew Sheafer is 1073405601. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Matthew Sheafer located?

Matthew Sheafer practices at 11430 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 518-1900.

What is Matthew Sheafer's specialty?

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

Is Matthew Sheafer enrolled in Medicare?

Yes. Matthew Sheafer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Sheafer accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew Sheafer 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.

Is Matthew Sheafer affiliated with any hospitals?

According to CMS data, Matthew Sheafer is affiliated with St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for Matthew Sheafer was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.