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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHANE WESLEY WHITE
NPI 1659959039
Otolaryngology in Wausau, WI

Active since March 29, 2021PECOS Enrolled
512 S 28TH AVE, WAUSAU, WI 54401(715) 847-2021 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Mar 29, 2021 (2 updates tracked since 2021).

About Shane Wesley White NPPES

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

SHANE WESLEY WHITE (NPI 1659959039) is an individual otolaryngology provider in Wausau, Wisconsin, licensed in Wisconsin (87323) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659959039
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSHANE WESLEY WHITE
Location Address512 S 28TH AVEWausau, WI 54401-4147
Mailing Address512 S 28th AveWausau, WI 54401-4147 · (715) 847-2021
Phone(715) 847-2021
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1659959039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WI · 87323
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
512 S 28TH AVE, Wausau, WI 54401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Wesley White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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 20

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

NIKOLENE JOHNSON
Physician Assistant
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
DR. DAVID A EDMONDSON DO
Allergy & Immunology (Allergy)
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
MOLLIE J BERG PA-C
Physician Assistant (Medical)
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
ENT & ALLERGY ASSOCIATES, S.C.
Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
DR. JESSICA ANN WEDDLE D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2020
GREGORY K SEWALL MD
Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
EMILY LOHR AU.D.
Audiologist
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021
SARVI S NALWA MD
Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Marathon County (715) 847-2021

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 Shane White's NPI number?

The NPI number for Shane White is 1659959039. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Shane White located?

Shane White practices at 512 S 28th Ave, Wausau, WI 54401. The listed phone number is (715) 847-2021.

What is Shane White's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shane White enrolled in Medicare?

Yes. Shane White is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane White was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.