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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELLY D HATLESTAD PA
NPI 1386649929
Physician Assistant - Surgical in La Crosse, WI

Active since June 20, 2005
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300(608) 775-4467 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly D Hatlestad Pa NPPES

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

SHELLY D HATLESTAD PA (NPI 1386649929) is an individual surgical provider in La Crosse, Wisconsin, licensed in Wisconsin (1766) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1386649929
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHELLY D HATLESTADCredential: PA
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300 · Fax (608) 775-4467
Phone(608) 782-7300
Fax(608) 775-4467
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386649929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WI · 1766
1836 SOUTH AVE, La Crosse, WI 54601
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Other Identifiers 1

Medicaid41993100WI

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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA APNP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU APNP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Shelly Hatlestad's NPI number?

The NPI number for Shelly Hatlestad is 1386649929. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Shelly Hatlestad located?

Shelly Hatlestad practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Shelly Hatlestad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Shelly Hatlestad was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.