MARY GRACE SHANABARGER APNP, AGPCNP-BC
NPI 1255148656
Nurse Practitioner in Milwaukee, WI

Active since December 18, 2024PECOS EnrolledAccepts Medicare Assignment
788 N JEFFERSON ST STE 300, MILWAUKEE, WI 53202(414) 272-8950 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Mary Grace Shanabarger Apnp, Agpcnp-bc NPPES

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

MARY GRACE SHANABARGER APNP, AGPCNP-BC (NPI 1255148656) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (16303) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Waukesha.

NPPES Registry Identity

NPI1255148656
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY GRACE SHANABARGERCredential: APNP, AGPCNP-BC
Location Address788 N JEFFERSON ST STE 300Milwaukee, WI 53202-3710
Mailing AddressN16w24131 Riverwood DrWaukesha, WI 53188-1106 · (262) 696-0808
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2024
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1255148656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 16303
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 ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 256531-30 (WI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 16303-33 (WI)
788 N JEFFERSON ST STE 300, Milwaukee, WI 53202

Secondary Practice Location 1

Location 1N16W24131 Riverwood DrWaukesha, WI 53188-1106 · Phone (262) 696-0808

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

Mary Grace Shanabarger Apnp, Agpcnp-bc 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 ID648776278
PECOS Enrollment IDI20251002002825
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 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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 2

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

Internal Medicine
788 N JEFFERSON ST STE 300
MILWAUKEE, WI 53202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST STE 300
MILWAUKEE, WI 53202

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 Mary Shanabarger's NPI number?

The NPI number for Mary Shanabarger is 1255148656. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Mary Shanabarger located?

Mary Shanabarger practices at 788 N Jefferson St Ste 300, Milwaukee, WI 53202. The listed phone number is (414) 272-8950.

What is Mary Shanabarger's specialty?

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

Is Mary Shanabarger enrolled in Medicare?

Yes. Mary Shanabarger 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 Mary Shanabarger accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mary Shanabarger 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 Mary Shanabarger affiliated with any hospitals?

According to CMS data, Mary Shanabarger is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Mary Shanabarger was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.