SHANNON MARIE BOLICK
NPI 1437968583
Counselor - Mental Health in Manitowoc, WI

Active since January 03, 2025PECOS EnrolledAccepts Medicare Assignment
PO BOX 1823, MANITOWOC, WI 54221(920) 663-1035 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Marie Bolick NPPES

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

SHANNON MARIE BOLICK (NPI 1437968583) is an individual mental health provider in Manitowoc, Wisconsin and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437968583
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON MARIE BOLICK
Location AddressPO BOX 1823Manitowoc, WI 54221-1823
Mailing AddressPo Box 1823Manitowoc, WI 54221-1823 · (920) 663-1035
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1437968583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
PO BOX 1823, Manitowoc, WI 54221

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 Marie Bolick 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.

PECOS PAC ID6305319567
PECOS Enrollment IDI20260629001800
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 Reassignment

Medicare enrollment records show Shannon Bolick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
3 RIVERVIEW DR
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 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.

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 Bolick's NPI number?

The NPI number for Shannon Bolick is 1437968583. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Shannon Bolick located?

Shannon Bolick practices at PO Box 1823, Manitowoc, WI 54221. The listed phone number is (920) 663-1035.

What is Shannon Bolick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Bolick enrolled in Medicare?

Yes. Shannon Bolick 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 Bolick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bolick reassigns Medicare benefits to Core Treatment Services, Inc. (Manitowoc, 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 Bolick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Bolick accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners, Network Health and UnitedHealthcare list Shannon Bolick 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 Bolick was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.