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SHEENA MARIE SWEENEY D.O.
NPI 1619264934
Family Medicine in Hartland, WI

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment
600 WALNUT RIDGE DR, HARTLAND, WI 53029(262) 369-7040(262) 369-7041 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 29, 2021, May 14, 2021, Apr 29, 2021 and 3 more (6 updates tracked since 2017).

About Sheena Marie Sweeney D.o. NPPES

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

SHEENA MARIE SWEENEY D.O. (NPI 1619264934) is an individual family medicine provider in Hartland, Wisconsin, licensed in Wisconsin (74785) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Oconomowoc Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619264934
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEENA MARIE SWEENEYCredential: D.O.
Location Address600 WALNUT RIDGE DRHartland, WI 53029-9385
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 369-7040
Fax(262) 369-7041
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2011
Enumeration DateJuly 7, 2011
Last NPPES UpdateMarch 11, 20246 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1619264934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 74785✔ Licensed in IL · 125.059109✔ Licensed in GA · 78312
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

600 WALNUT RIDGE DR, Hartland, WI 53029
Open in Google Maps ↗

Secondary Practice Locations 3

Location 136500 Aurora DrSummit, WI 53066-4899 · Phone (262) 434-1000 · Fax (262) 434-5050
Location 27830 Veterans Pkwy Ste HColumbus, GA 31909-4973 · Phone (706) 320-8881 · Fax (706) 221-3594
Location 37447 W Talcott Ave, Suite 182Chicago, IL 60631-3745 · Phone (773) 792-5155

Other Identifiers 1

Medicaid100158482WI

Accepted Insurance

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

Sheena Marie Sweeney D.o. 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 ID9931321411
PECOS Enrollment IDI20210426001839
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
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.
29 services25 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53029 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$79.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AURORA MEDICAL GROUP,INC.
Durable Medical Equipment & Medical Supplies
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 569-7040
MRS. CHRISTINE B GROTH RPH, CDM
Pharmacist
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7080
AURORA MEDICAL GROUP, INC.
Eyewear Supplier
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7040
AURORA HEALTH CARE VENTURES INC.
Eyewear Supplier
600 WALNUT RIDGE DR, SUITE 216
HARTLAND, WI 53029
Waukesha County (262) 369-6925
DR. SAMUEL SEUNGHOON YOON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7040
JESSICA CHAPIN PHD
Clinical Neuropsychologist
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7068
WIAAM TAHA M.D.
Internal Medicine
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7040
GREGORY C WOCHOS
Clinical Neuropsychologist
600 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 369-7068

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 Sheena Sweeney's NPI number?

The NPI number for Sheena Sweeney is 1619264934. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Sheena Sweeney located?

Sheena Sweeney practices at 600 Walnut Ridge Dr, Hartland, WI 53029. The listed phone number is (262) 369-7040.

What is Sheena Sweeney's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheena Sweeney enrolled in Medicare?

Yes. Sheena Sweeney 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 Sheena Sweeney accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Sheena Sweeney 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 Sheena Sweeney affiliated with any hospitals?

According to CMS data, Sheena Sweeney is affiliated with Oconomowoc Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Sheena Sweeney was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.