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BREANNA SHEPLEY
NPI 1275159428
Physician Assistant in Waukesha, WI

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1111 DELAFIELD ST STE 102, WAUKESHA, WI 53188(262) 547-1614 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 12, 2025, Dec 8, 2021, Jun 25, 2020 (3 updates tracked since 2020).

About Breanna Shepley NPPES

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

BREANNA SHEPLEY (NPI 1275159428) is an individual physician assistant in Waukesha, Wisconsin, licensed in Wisconsin (5546-23) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275159428
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREANNA SHEPLEY
Location Address1111 DELAFIELD ST STE 102Waukesha, WI 53188-3402
Mailing Address1111 Delafield St Ste 102Waukesha, WI 53188-3402 · (262) 547-1614
Phone(262) 547-1614
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2020
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1275159428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5546-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 DELAFIELD ST STE 102, Waukesha, WI 53188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.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

Breanna Shepley 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 ID5496143794
PECOS Enrollment IDI20231110001657
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.

Areas of Expertise CMS Part B claims 4

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
161 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services32 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. VICTORIA LYNN STEINHOFF AU.D., CCC-A
Audiologist
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 549-5150
DR. DANIELLE BANASZYNSKI AUD, CCC-A
Audiologist
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 549-5150
RYAN JOSEPH LAU MD
Otolaryngology
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 547-1614
JAMIE NICHOLS PA
Physician Assistant
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 683-8455
MS. KIZ ROBERTSON
Audiologist
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 549-5150
DR. JULIE J. FOURNIER AU.D., CCC-A
Audiologist
1111 DELAFIELD ST STE 102
WAUKESHA, WI 53188
Waukesha County (262) 549-5150

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 Breanna Shepley's NPI number?

The NPI number for Breanna Shepley is 1275159428. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Breanna Shepley located?

Breanna Shepley practices at 1111 Delafield St Ste 102, Waukesha, WI 53188. The listed phone number is (262) 547-1614.

What is Breanna Shepley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanna Shepley enrolled in Medicare?

Yes. Breanna Shepley 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 Breanna Shepley accept?

Health plans from Network Health and UnitedHealthcare list Breanna Shepley 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 Breanna Shepley affiliated with any hospitals?

According to CMS data, Breanna Shepley is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Breanna Shepley was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.