SHAWN WAYNE
NPI 1295266443
Internal Medicine - Pulmonary Disease in La Crosse, WI
About Shawn Wayne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN WAYNE (NPI 1295266443) is an individual pulmonary disease provider in La Crosse, Wisconsin, licensed in Wisconsin (83334-20) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Gundersen Palmer Lutheran Hospital And Clinics, and maintains a secondary practice location in Burlington.
NPPES Registry Identity
Specialties & Licenses 4
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 Wayne 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 Wayne reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Iowa, Minnesota and Wisconsin enrollments
- 179 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin and Minnesota enrollments
- Also billed through NPI 1376593442 (Minnesota)
- 1,457 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- 293 clinicians in this Medicare group
Decorah, IA 52101
- Reassigned Medicare billing, Iowa enrollment
- 83 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Alma, WI 54610
- Reassigned Medicare billing, Wisconsin enrollment
- 86 clinicians in this Medicare group
Boscobel, WI 53805
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1306804794 (Wisconsin)
- 76 clinicians in this Medicare group
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1619024197 (Wisconsin)
- 231 clinicians in this Medicare group
West Union, IA 52175
- Reassigned Medicare billing, Wisconsin enrollment
- 68 clinicians in this Medicare group
Friendship, WI 53934
- Reassigned Medicare billing, Wisconsin enrollment
- 280 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 8
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Palmer Lutheran Hospital And Clinics
Critical Access Hospitals · West Union, IAGundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIGundersen St Josephs Hospital And Clinics
Critical Access Hospitals · Hillsboro, WIGundersen Boscobel Area Hospital And Clinics
Critical Access Hospitals · Boscobel, WIVernon Memorial Hospital
Critical Access Hospitals · Viroqua, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Wayne's NPI number?
The NPI number for Shawn Wayne is 1295266443. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Shawn Wayne located?
Shawn Wayne practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Shawn Wayne's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Shawn Wayne enrolled in Medicare?
Yes. Shawn Wayne 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 Wayne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Wayne reassigns Medicare benefits to 10 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Tri-County Memorial Hospital, Inc. (Blair, WI), Gundersen Regional Clinics LLC (Decorah, IA), St. Joseph's Health Services, Inc. (Hillsboro, 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 Wayne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Wayne accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Oscar Insurance Company and Quartz and 1 other insurer list Shawn Wayne 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 Wayne affiliated with any hospitals?
According to CMS data, Shawn Wayne is affiliated with Gundersen Palmer Lutheran Hospital And Clinics, Gundersen Lutheran Medical Center, Gundersen St Josephs Hospital And Clinics, Gundersen Boscobel Area Hospital And Clinics and Vernon Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shawn Wayne was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Wayne · NPI 1295266443
Pulmonary Disease physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1295266443 (Entity type: Individual)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 83334-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## 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): Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI); Tri-County Memorial Hospital, Inc. (NPI 1659625192, Blair, WI); Gundersen Regional Clinics LLC (NPI 1043999071, Decorah, IA); St. Joseph's Health Services, Inc. (NPI 1972591410, Hillsboro, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295266443) · Data from the CMS NPPES public registry.