SHANDA N LEAGUE MD
NPI 1104529783
Student in an Organized Health Care Education/Training Program in Milwaukee, WI
About Shanda N League Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDA N LEAGUE MD (NPI 1104529783) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shanda N League Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Shanda League reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 298 clinicians in this Medicare group
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
WAUWATOSA, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, 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 Shanda League's NPI number?
The NPI number for Shanda League is 1104529783. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Shanda League located?
Shanda League practices at 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-4575.
What is Shanda League's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shanda League enrolled in Medicare?
Yes. Shanda League is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shanda League's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanda League reassigns Medicare benefits to 3 organizations: South Central Emergency Services PC (Stillwater, OK), Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK) and Emergency Services Of Oklahoma PC (Norman, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanda League's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shanda League was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shanda N League, MD · NPI 1104529783
Student in an Organized Health Care Education/Training Program provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1104529783 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 8701 WATERTOWN PLANK RD, Milwaukee, WI 53226-3548
- **Phone:** (414) 955-4575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): South Central Emergency Services PC (NPI 1558663724, Stillwater, OK); Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK); Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104529783) · Data from the CMS NPPES public registry.