SHAWNA K WHEELER PA-C
NPI 1326051483
Physician Assistant - Medical in Madison, WI

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
5249 E TERRACE DR, MADISON, WI 53718(608) 263-9550 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawna K Wheeler Pa-c NPPES

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

SHAWNA K WHEELER PA-C (NPI 1326051483) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (1975-023) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326051483
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHAWNA K WHEELERCredential: PA-C
Location Address5249 E TERRACE DRMadison, WI 53718-8339
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 13, 2006
Last NPPES UpdateMay 4, 2010
NPI 1326051483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 1975-023
5249 E TERRACE DR, Madison, WI 53718

Accepted 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

Shawna K Wheeler Pa-c 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 ID3072517242
PECOS Enrollment IDI20060830000172
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 11

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
126 services96 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
122 services65 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
93 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services66 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
63 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Richland Hospital

Critical Access Hospitals · Richland Center, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521341
Location333 E Second StRichland Center, WI 53581 · Richland County
Emergency services

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Physician Assistant
5249 E TERRACE DR
MADISON, WI 53718
Social Worker (Clinical)
5249 E TERRACE DR
MADISON, WI 53718
Psychologist
5249 E TERRACE DR
MADISON, WI 53718
Social Worker
5249 E TERRACE DR
MADISON, WI 53718
Pharmacy
5249 E TERRACE DR, SUITE 9951
MADISON, WI 53718
Psychiatry & Neurology (Psychiatry)
5249 E TERRACE DR
MADISON, WI 53718
Nurse Practitioner
5249 E TERRACE DR
MADISON, WI 53718
Anesthesiology (Pain Medicine)
5249 E TERRACE DR
MADISON, WI 53718

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 Shawna Wheeler's NPI number?

The NPI number for Shawna Wheeler is 1326051483. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Shawna Wheeler located?

Shawna Wheeler practices at 5249 E Terrace Dr, Madison, WI 53718. The listed phone number is (608) 263-9550.

What is Shawna Wheeler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shawna Wheeler enrolled in Medicare?

Yes. Shawna Wheeler 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 Shawna Wheeler accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Shawna Wheeler 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 Shawna Wheeler affiliated with any hospitals?

According to CMS data, Shawna Wheeler is affiliated with Fort Memorial Hospital, Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority, Richland Hospital and Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Shawna Wheeler was last updated on May 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.