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

DR. HEIDI ANNE SHUFELT OD
NPI 1447200456
Optometrist in Racine, WI

Active since May 11, 2006PECOS Enrolled
4801 WASHINGTON AVE, RACINE, WI 53406(262) 637-3733(262) 637-0752 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Heidi Anne Shufelt Od NPPES

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

DR. HEIDI ANNE SHUFELT OD (NPI 1447200456) is an individual optometrist in Racine, Wisconsin, licensed in Wisconsin (2554) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1447200456
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HEIDI ANNE SHUFELTCredential: OD
Location Address4801 WASHINGTON AVERacine, WI 53406-4219
Mailing Address4801 Washington AveRacine, WI 53406-4219 · (262) 637-3733 · Fax (262) 637-0752
Fax(262) 637-0752
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1447200456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WI · 2554
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4801 WASHINGTON AVE, Racine, WI 53406

Other Identifiers 1

Medicaid38595900WI

Accepted Insurance

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

Dr. Heidi Anne Shufelt Od 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 ID6800808668
PECOS Enrollment IDI20060615000314
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
34 services34 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406
Pharmacy (Community/Retail Pharmacy)
4801 WASHINGTON AVE
RACINE, WI 53406
Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406
Eyewear Supplier
4801 WASHINGTON AVE
RACINE, WI 53406
Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406

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 Heidi Shufelt's NPI number?

The NPI number for Heidi Shufelt is 1447200456. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Heidi Shufelt located?

Heidi Shufelt practices at 4801 Washington Ave, Racine, WI 53406. The listed phone number is (262) 637-3733.

What is Heidi Shufelt's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Heidi Shufelt enrolled in Medicare?

Yes. Heidi Shufelt 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.

What insurance does Heidi Shufelt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Heidi Shufelt 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 Heidi Shufelt 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 25 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.