SOPHIE ANN SHACKLEY PA-C
NPI 1376165548
Physician Assistant - Medical in Fitchburg, WI
About Sophie Ann Shackley Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIE ANN SHACKLEY PA-C (NPI 1376165548) is an individual medical provider in Fitchburg, Wisconsin, licensed in Wisconsin (8537-23) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Sophie Ann Shackley 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FITCHBURG, WI 53711
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 Sophie Shackley's NPI number?
The NPI number for Sophie Shackley is 1376165548. It was assigned to this individual provider in the NPPES registry on May 11, 2020.
Where is Sophie Shackley located?
Sophie Shackley practices at 5543 E Cheryl Pkwy, Fitchburg, WI 53711. The listed phone number is (608) 274-5300.
What is Sophie Shackley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Sophie Shackley enrolled in Medicare?
Yes. Sophie Shackley 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.
Is Sophie Shackley affiliated with any hospitals?
According to CMS data, Sophie Shackley is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Sophie Shackley was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Sophie Ann Shackley, PA-C · NPI 1376165548
Medical physician in Fitchburg, Wisconsin. Individual provider, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1376165548 (Entity type: Individual)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 8537-23 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5543 E CHERYL PKWY, Fitchburg, WI 53711-5376
- **Phone:** (608) 274-5300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376165548) · Data from the CMS NPPES public registry.