SHANNON BROEKER LPC
NPI 1386488955
Counselor - Professional in Port Washington, WI
About Shannon Broeker Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON BROEKER LPC (NPI 1386488955) is an individual professional provider in Port Washington, Wisconsin, licensed in Wisconsin (11969-125) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Shannon Broeker Lpc 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 Reassignment
Medicare enrollment records show Shannon Broeker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 556 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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT WASHINGTON, WI 53074
PORT WASHINGTON, WI 53074
PORT WASHINGTON, WI 53074
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 Shannon Broeker's NPI number?
The NPI number for Shannon Broeker is 1386488955. It was assigned to this individual provider in the NPPES registry on June 19, 2024.
Where is Shannon Broeker located?
Shannon Broeker practices at 1317 W Grand Ave Ste 6, Port Washington, WI 53074. The listed phone number is (262) 427-8905.
What is Shannon Broeker's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Broeker enrolled in Medicare?
Yes. Shannon Broeker 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 organization bills Medicare for Shannon Broeker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Broeker reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). The 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 Shannon Broeker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Broeker accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Shannon Broeker 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 Shannon Broeker was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Shannon Broeker, LPC · NPI 1386488955
Professional provider in Port Washington, Wisconsin. Individual provider, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1386488955 (Entity type: Individual)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11969-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1317 W GRAND AVE STE 6, Port Washington, WI 53074-2075
- **Phone:** (262) 427-8905
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 13, 2026
- **Other identifiers:** Other 11969 (WI); Other 7529 (WI); Other 11969 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386488955) · Data from the CMS NPPES public registry.