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DR. SHAWN ANN PFLUGARDT PSY.D.
NPI 1346358447
Psychologist - Clinical in Rhinelander, WI

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
1020 KABEL AVE, RHINELANDER, WI 54501(715) 361-2805 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shawn Ann Pflugardt Psy.d. NPPES

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

DR. SHAWN ANN PFLUGARDT PSY.D. (NPI 1346358447) is an individual clinical provider in Rhinelander, Wisconsin, licensed in Wisconsin (2128-057) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1346358447
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHAWN ANN PFLUGARDTCredential: PSY.D.
Location Address1020 KABEL AVERhinelander, WI 54501-3918
Mailing Address1020 Kabel AveRhinelander, WI 54501-3918 · (715) 361-2805
Phone(715) 361-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 7, 2014
✔ NPI 1346358447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 2128-057
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1020 KABEL AVE, Rhinelander, WI 54501
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Other Identifiers 1

Medicare ID-Type Unspecified44740WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Dr. Shawn Ann Pflugardt Psy.d. 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 ID5496702854
PECOS Enrollment IDI20050407000316
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54501 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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.

AMY CATHERINE KOGLIN LMFT, BCBA
Behavior Analyst
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-2805
JILL BLANK MSW,LCSW
Social Worker
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-2805
CAROL BARBER MD
Psychiatry & Neurology (Psychiatry)
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-4700
DR. JAMIE HEIN PSYD
Psychologist
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-2805
HONGJING TAN MD
Physical Medicine & Rehabilitation
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-4700
MS. SHARON ANN JONES OTR
Occupational Therapist
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-5480
MELANIE MILLER MSW, LCSW
Social Worker (Clinical)
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-2805
CALLA J SCHEEL APNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1020 KABEL AVE
RHINELANDER, WI 54501
Oneida County (715) 361-2920

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 Pflugardt's NPI number?

The NPI number for Shawn Pflugardt is 1346358447. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Shawn Pflugardt located?

Shawn Pflugardt practices at 1020 Kabel Ave, Rhinelander, WI 54501. The listed phone number is (715) 361-2805.

What is Shawn Pflugardt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shawn Pflugardt enrolled in Medicare?

Yes. Shawn Pflugardt 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 Shawn Pflugardt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 2 other insurers list Shawn Pflugardt 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 Shawn Pflugardt was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.