JELENA KRAVIC SHADICK M.D.
NPI 1316331960
Pediatrics in Oshkosh, WI

Q: What is Jelena Shadick's NPI number?

The NPI number for Jelena Shadick is 1316331960. It was assigned to this individual provider in the NPPES registry on March 21, 2015. The provider is also known as Dr. Jelena Kravic M.D..

Q: What is Jelena Shadick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jelena Shadick was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 21, 2015PECOS Enrolled

2700 W 9TH AVE, OSHKOSH, WI 54904(904) 633-4199 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jelena Kravic Shadick M.d. NPPES

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

JELENA KRAVIC SHADICK M.D. (NPI 1316331960) is an individual pediatrics provider in Oshkosh, Wisconsin, licensed in Wisconsin (68579) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316331960

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJELENA KRAVIC SHADICKCredential: M.D.

Location Address2700 W 9TH AVEOshkosh, WI 54904

Mailing Address2700 W 9th AveOshkosh, WI 54904-7247

Phone(904) 633-4199

Sole ProprietorNo

Enumeration DateMarch 21, 2015

Last NPPES UpdateJune 8, 2018

✔ NPI 1316331960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 68579

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2700 W 9TH AVE, Oshkosh, WI 54904

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Other Names 1

Former Name (1)Dr. Jelena Kravic M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jelena Kravic Shadick M.d. 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 Jelena Shadick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Fox Valley Wisconsin, Inc

14 mi

Multi-Specialty

101 MAIN ST
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
444 clinicians in this Medicare group

NPI 1730126392 (920) 727-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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 20

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

MRS. JENNIFER MLADUCKY NP

Nurse Practitioner (Family)

2700 W 9TH AVE, SUITE 11
OSHKOSH, WI 54904

Winnebago County (920) 236-1555

TRACY ANN HERREWIG MS

Clinical Exercise Physiologist

2700 W 9TH AVE, SUITE 107
OSHKOSH, WI 54904

Winnebago County (920) 223-1122

MARY MCDONALD MD SC

Internal Medicine (Gastroenterology)

2700 W 9TH AVE, SUITE 300
OSHKOSH, WI 54904

Winnebago County (920) 223-0490

MERCY MEDICAL CENTER OF OSHKOSH, INC

Clinic/Center (Physical Therapy)

2700 W 9TH AVE
OSHKOSH, WI 54904

Winnebago County (920) 236-1850

DIGESTIVE HEALTHCARE SPECIALISTS, SC

Internal Medicine (Gastroenterology)

2700 W 9TH AVE, SUITE315A
OSHKOSH, WI 54904

Winnebago County (920) 236-1630

MAMOUN B AL-NOURI MD

Internal Medicine (Cardiovascular Disease)

2700 W 9TH AVE, STE 106
OSHKOSH, WI 54904

Winnebago County (920) 236-1755

JEFFREY R. MCLAUGHLIN M.D.

Orthopaedic Surgery

2700 W 9TH AVE, SUITE 125
OSHKOSH, WI 54904

Winnebago County (920) 223-0123

THERESA M CHENG MD PHD

Neurological Surgery

2700 W 9TH AVE, STE 203
OSHKOSH, WI 54904

Winnebago County (920) 236-1420

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 Jelena Shadick's NPI number?

The NPI number for Jelena Shadick is 1316331960. It was assigned to this individual provider in the NPPES registry on March 21, 2015. The provider is also known as Dr. Jelena Kravic M.D..

Where is Jelena Shadick located?

Jelena Shadick practices at 2700 W 9th Ave, Oshkosh, WI 54904. The listed phone number is (904) 633-4199.

What is Jelena Shadick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jelena Shadick enrolled in Medicare?

Yes. Jelena Shadick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jelena Shadick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jelena Shadick reassigns Medicare benefits to Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, 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 Jelena Shadick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jelena Shadick accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Jelena Shadick 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 Jelena Shadick was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.