DR. SHAWN ANN PFLUGARDT PSY.D.
NPI 1346358447
Psychologist - Clinical in Rhinelander, WI
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
Specialties & Licenses
Other Identifiers 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Shawn Pflugardt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rhinelander, WI 54501
- Reassigned Medicare billing, Wisconsin enrollment
- 415 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
- 397 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 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.
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.
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.
RHINELANDER, WI 54501
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.
Which organizations bill Medicare for Shawn Pflugardt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Pflugardt reassigns Medicare benefits to 3 organizations: Aspirus Medical Group, Inc. (Rhinelander, WI), Aspirus Medical Group, Inc. (Wausau, WI) and Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI). 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 Pflugardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Pflugardt accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan and 1 other insurer 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 12 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.
# Dr. Shawn Ann Pflugardt, PSY.D. · NPI 1346358447
Clinical provider in Rhinelander, Wisconsin. Individual provider, active in the CMS NPPES registry since August 28, 2006.
## Identity
- **NPI:** 1346358447 (Entity type: Individual)
- **Enumerated:** August 28, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2128-057 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1020 KABEL AVE, Rhinelander, WI 54501-3918
- **Phone:** (715) 361-2805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aspirus Medical Group, Inc. (NPI 1770252884, Rhinelander, WI); Aspirus Medical Group, Inc. (NPI 1689976474, Wausau, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1679706022, Stevens Point, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 7, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 44740 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1346358447) · Data from the CMS NPPES public registry.