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MR. SHAWN P WILSON MD
NPI 1356458517
Emergency Medicine in Beloit, WI

Active since August 24, 2006PECOS Enrolled
1969 W HART RD, BELOIT, WI 53511(608) 758-7215(608) 758-3216 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Shawn P Wilson Md NPPES

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

MR. SHAWN P WILSON MD (NPI 1356458517) is an individual emergency medicine provider in Beloit, Wisconsin, licensed in Wisconsin (031093) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356458517
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. SHAWN P WILSONCredential: MD
Location Address1969 W HART RDBeloit, WI 53511
Mailing Address1446 N Randall AveJanesville, WI 53545-1122 · (608) 758-7215 · Fax (608) 758-3216
Phone(608) 758-7215
Fax(608) 758-3216
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1356458517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 031093
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1969 W HART RD, Beloit, WI 53511
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Other Identifiers 1

Medicaid31583400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shawn P Wilson Md 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 Reassignments

4

Medicare enrollment records show Shawn Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Wisconsin Emergency Associates Sc
Same address
Emergency Medicine
1969 W HART RD
Beloit, WI 53511
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 21 clinicians in this Medicare group
NPI 1568538189 (405) 696-7932
Beloit Health System Inc
6.3 mi
General Practice
5605 E ROCKTON RD
Roscoe, IL 61073
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1841485984 (608) 364-5011
Stoughton Hospital Association
28 mi
Psychiatric Unit
900 RIDGE ST
Stoughton, WI 53589
  • Reassigned Medicare billing, Wisconsin enrollment
  • 86 clinicians in this Medicare group
NPI 1437296456 (608) 873-6611
University Of Wisconsin Medical Foundation, Inc
46 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 53511 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.

DR. USMAN SARWAR M.D.
Internal Medicine (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
JESSICA M. FRANTZ CCC/SLP
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 364-5695
MRS. CAROL J KATROSCIK MSW LCSW
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MRS. SALLY J GREER MS LPC
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
YEHIA A. KHOGA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MIGUEL A JIMENEZ MD
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5269
STACY HEITZ PA-C
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
STEVEN STEPHEN CHOUNG MD
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 362-7444

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 Wilson's NPI number?

The NPI number for Shawn Wilson is 1356458517. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Shawn Wilson located?

Shawn Wilson practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 758-7215.

What is Shawn Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shawn Wilson enrolled in Medicare?

Yes. Shawn Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shawn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Wilson reassigns Medicare benefits to 4 organizations: Southern Wisconsin Emergency Associates Sc (Beloit, WI), Beloit Health System Inc (Roscoe, IL), Stoughton Hospital Association (Stoughton, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Wilson accept?

Health plans from Group Health Cooperative-SCW list Shawn Wilson 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 Wilson was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.