SHANNA LAROCHELLE
NPI 1508352311
Physician Assistant in Kewaunee, WI

Active since July 04, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1020 MARQUETTE DR, KEWAUNEE, WI 54216(920) 388-0144 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Nov 27, 2018, Aug 5, 2018 and 1 more (4 updates tracked since 2018).

About Shanna Larochelle NPPES

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

SHANNA LAROCHELLE (NPI 1508352311) is an individual physician assistant in Kewaunee, Wisconsin and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508352311
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNA LAROCHELLE
Location Address1020 MARQUETTE DRKewaunee, WI 54216-1782
Mailing Address1020 Marquette DrKewaunee, WI 54216-1782
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 4, 2018
Last NPPES UpdateNovember 17, 20234 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1508352311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1020 MARQUETTE DR, Kewaunee, WI 54216

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

Shanna Larochelle 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 ID7416206586
PECOS Enrollment IDI20180822002907
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 3

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services97 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
23 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54216 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1020 MARQUETTE DR
KEWAUNEE, WI 54216
Nurse Practitioner (Family)
1020 MARQUETTE DR
KEWAUNEE, WI 54216
Durable Medical Equipment & Medical Supplies
1020 MARQUETTE DR
KEWAUNEE, WI 54216
Physical Therapist
1020 MARQUETTE DR
KEWAUNEE, WI 54216
Nurse Practitioner (Family)
1020 MARQUETTE DR
KEWAUNEE, WI 54216

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 Shanna Larochelle's NPI number?

The NPI number for Shanna Larochelle is 1508352311. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Shanna Larochelle located?

Shanna Larochelle practices at 1020 Marquette Dr, Kewaunee, WI 54216. The listed phone number is (920) 388-0144.

What is Shanna Larochelle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shanna Larochelle enrolled in Medicare?

Yes. Shanna Larochelle 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 Shanna Larochelle accept?

Health plans from CareSource (Common Ground Healthcare) list Shanna Larochelle 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.

Is Shanna Larochelle affiliated with any hospitals?

According to CMS data, Shanna Larochelle is affiliated with St Vincent Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Shanna Larochelle was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.