SHAWN PATRICK PRITCHARD M.D.
NPI 1245676683
Internal Medicine in Duluth, MN
About Shawn Patrick Pritchard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN PATRICK PRITCHARD M.D. (NPI 1245676683) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (60559) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and maintains a secondary practice location in Duluth.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shawn Patrick Pritchard M.d. 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.
Medicare Billing Reassignments
10Medicare enrollment records show Shawn Pritchard reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hurley, WI 54534
- Reassigned Medicare billing, Michigan enrollment
- 244 clinicians in this Medicare group
Ironwood, MI 49938
- Reassigned Medicare billing, Michigan enrollment
- 264 clinicians in this Medicare group
Ladysmith, WI 54848
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 clinicians in this Medicare group
Eagle River, WI 54521
- Reassigned Medicare billing, Wisconsin enrollment
- 262 clinicians in this Medicare group
Rhinelander, WI 54501
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Wausau Hospital Inc
- 633 clinicians in this Medicare group
Whitehall, WI 54773
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Onalaska, WI 54650
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Ironwood Hospital
Critical Access Hospitals · Ironwood, MIAspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIAspirus Eagle River Hospital
Critical Access Hospitals · Eagle River, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
DULUTH, MN 55802
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 Shawn Pritchard's NPI number?
The NPI number for Shawn Pritchard is 1245676683. It was assigned to this individual provider in the NPPES registry on May 13, 2013.
Where is Shawn Pritchard located?
Shawn Pritchard practices at 1001 E Superior St Ste. L401, Duluth, MN 55802. The listed phone number is (218) 249-7960.
What is Shawn Pritchard's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shawn Pritchard enrolled in Medicare?
Yes. Shawn Pritchard 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.
Which organizations bill Medicare for Shawn Pritchard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Pritchard reassigns Medicare benefits to 10 organizations: Aspirus Ironwood Hospital & Clinics, Inc. (Hurley, WI), Aspirus Ironwood Hospital & Clinics, Inc. (Ironwood, MI), Mchs Hospitals Inc (Ladysmith, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Woodruff, WI), The Howard Young Medical Center, Inc. (Woodruff, WI) and 5 more organizations, listed in the Medicare section above. 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 Shawn Pritchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Pritchard accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shawn Pritchard 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 Shawn Pritchard affiliated with any hospitals?
According to CMS data, Shawn Pritchard is affiliated with Aspirus Ironwood Hospital, Aspirus Rhinelander Hospital, Howard Young Medical Center and Aspirus Eagle River Hospital.
When was this NPI record last updated?
The NPPES record for Shawn Pritchard was last updated on November 17, 2022. 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.
# Shawn Patrick Pritchard, M.D. · NPI 1245676683
Internal Medicine physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 13, 2013.
## Identity
- **NPI:** 1245676683 (Entity type: Individual)
- **Enumerated:** May 13, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 60559 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 E SUPERIOR ST, STE. L401, Duluth, MN 55802-2207
- **Phone:** (218) 249-7960 · **Fax:** (218) 249-7997
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Aspirus Ironwood Hospital & Clinics, Inc. (NPI 1154434249, Hurley, WI); Aspirus Ironwood Hospital & Clinics, Inc. (NPI 1609034099, Ironwood, MI); Mchs Hospitals Inc (NPI 1952890873, Ladysmith, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1699444968, Woodruff, WI); The Howard Young Medical Center, Inc. (NPI 1134183171, Woodruff, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245676683) · Data from the CMS NPPES public registry.