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SHANNON M FOGARTY N.P.
NPI 1508801622
Nurse Practitioner in Wauwatosa, WI

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
1055 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 479-2300 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2021, Jul 10, 2018 (2 updates tracked since 2018).

About Shannon M Fogarty N.p. NPPES

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

SHANNON M FOGARTY N.P. (NPI 1508801622) is an individual nurse practitioner in Wauwatosa, Wisconsin, licensed in Wisconsin (1545-033) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1999).

NPPES Registry Identity

NPI1508801622
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON M FOGARTYCredential: N.P.
Location Address1055 N MAYFAIR RDWauwatosa, WI 53226
Mailing Address1055 N Mayfair RdWauwatosa, WI 53226-3436 · (414) 479-2300
Phone(414) 479-2300
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1999
Enumeration DateJune 20, 2006
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1508801622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1545-033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1055 N MAYFAIR RD, Wauwatosa, WI 53226
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Other Names 1

Former Name (1)Shannon M Whitaker N.p.

Other Identifiers 2

Medicaid43917700WI
Other500014946WI · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Shannon M Fogarty N.p. 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 ID1951378272
PECOS Enrollment IDI20040915000432
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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
346 services69 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
262 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 18

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

ONCOLOGY ALLIANCE
Non-Pharmacy Dispensing Site
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 479-8450
DR. SARDAR KHAN MD
Family Medicine
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 479-2300
DANIEL MOLINARO DO
Family Medicine
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 476-8450
SAVAN PANCHAL MD
Family Medicine
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 479-2300
WILLIAM G MATTHAEUS MD
Internal Medicine (Hematology & Oncology)
1055 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (262) 857-5750
KHYATI SONI D.O.
Family Medicine
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 479-2300
SARA J NOLAN MD
Family Medicine
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (414) 476-8450
AURORA PHARMACY INC.
Pharmacy
1055 N MAYFAIR RD, SUITE 100
MILWAUKEE, WI 53226
Milwaukee County (414) 479-2500

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 Fogarty's NPI number?

The NPI number for Shannon Fogarty is 1508801622. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Shannon M Whitaker N.P..

Where is Shannon Fogarty located?

Shannon Fogarty practices at 1055 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 479-2300.

What is Shannon Fogarty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Fogarty enrolled in Medicare?

Yes. Shannon Fogarty 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 Shannon Fogarty accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Shannon Fogarty 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 Fogarty was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.