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SHANNON MICHELLE WALDOCH MD
NPI 1275273302
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 29, 2022PECOS Enrolled
9200 W WISCONSIN AVE # P347, MILWAUKEE, WI 53226(414) 805-6034 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Michelle Waldoch Md NPPES

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

SHANNON MICHELLE WALDOCH MD (NPI 1275273302) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275273302
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON MICHELLE WALDOCHCredential: MD
Location Address9200 W WISCONSIN AVE # P347Milwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave # P347Milwaukee, WI 53226-3522
Phone(414) 805-6034
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1275273302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9200 W WISCONSIN AVE # P347, Milwaukee, WI 53226
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Michelle Marslender

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Michelle Waldoch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Waldoch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
2.5 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650

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 11

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

RACHEL LAUREN STOLZENFELD MD
Student in an Organized Health Care Education/Training Program
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6034
DR. YEKATERINA KOROL MD
Anesthesiology
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6034
CLAYTON SWEENEY MD
Anesthesiology
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6102
ZOE BALABAN-FELD MD
Anesthesiology
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (405) 805-5916
STEVEN MATTHEW MALOUFF
Student in an Organized Health Care Education/Training Program
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6034
ZACKARY KIMBLE FRONK DO
Student in an Organized Health Care Education/Training Program
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5915
ANJA CUCAK
Student in an Organized Health Care Education/Training Program
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6034
DR. MARCUS EDWARD COOLEY MD
Anesthesiology
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6034

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 Shannon Waldoch's NPI number?

The NPI number for Shannon Waldoch is 1275273302. It was assigned to this individual provider in the NPPES registry on March 29, 2022. The provider is also known as Shannon Michelle Marslender.

Where is Shannon Waldoch located?

Shannon Waldoch practices at 9200 W Wisconsin Ave # P347, Milwaukee, WI 53226. The listed phone number is (414) 805-6034.

What is Shannon Waldoch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Waldoch enrolled in Medicare?

Yes. Shannon Waldoch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Waldoch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Waldoch reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Shannon Waldoch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Waldoch accept?

Health plans from CareSource (Common Ground Healthcare) list Shannon Waldoch 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.

When was this NPI record last updated?

The NPPES record for Shannon Waldoch was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.