SHANNON I PHAM NP
NPI 1295321370
Nurse Practitioner - Family in Appleton, WI
About Shannon I Pham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON I PHAM NP (NPI 1295321370) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (F06201040) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waupaca.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Shannon I Pham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Shannon Pham reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chilton, WI 53014
- Reassigned Medicare billing, Wisconsin enrollment
- 140 clinicians in this Medicare group
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1013995521 (Wisconsin)
- 110 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 70 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Wild Rose, WI 54984
- Reassigned Medicare billing, Wisconsin enrollment
- 28 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Birnamwood, WI 54414
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1639187412 (Wisconsin)
- 321 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Emergency Medicine Specialists Sc
- 244 clinicians in this Medicare group
Athens, WI 54411
- Reassigned Medicare billing, Wisconsin enrollment
- 376 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
APPLETON, WI 54915
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 Pham's NPI number?
The NPI number for Shannon Pham is 1295321370. It was assigned to this individual provider in the NPPES registry on December 14, 2020.
Where is Shannon Pham located?
Shannon Pham practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 738-2000.
What is Shannon Pham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Pham enrolled in Medicare?
Yes. Shannon Pham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Pham reassigns Medicare benefits to 9 organizations: Ascension Calumet Hospital, Inc (Chilton, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI) and 4 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 Shannon Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Pham accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Shannon Pham 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 Pham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shannon I Pham, NP · NPI 1295321370
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since December 14, 2020.
## Identity
- **NPI:** 1295321370 (Entity type: Individual)
- **Enumerated:** December 14, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F06201040 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1506 S ONEIDA ST, Appleton, WI 54915-1305
- **Phone:** (920) 738-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Ascension Calumet Hospital, Inc (NPI 1376541748, Chilton, WI); Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Thedacare Medical Center - Wild Rose, Inc (NPI 1043263999, Wild Rose, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295321370) · Data from the CMS NPPES public registry.