SHAWN THOMAS SEDGWICK MD
NPI 1679559298
Family Medicine in La Crosse, WI
About Shawn Thomas Sedgwick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN THOMAS SEDGWICK MD (NPI 1679559298) is an individual family medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (38787-020) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Gundersen Moundview Hospital And Clinics, and is a graduate of University Of Wisconsin School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shawn Thomas Sedgwick Md 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.
Medicare Billing Reassignments
10Medicare enrollment records show Shawn Sedgwick reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin and Minnesota enrollments
- Also billed through NPI 1376593442 (Minnesota)
- 1,457 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Westby, WI 54667
- Reassigned Medicare billing, Wisconsin enrollment
- 49 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- 293 clinicians in this Medicare group
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1992970453 (Wisconsin)
- 188 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Boscobel, WI 53805
- Reassigned Medicare billing, Wisconsin enrollment
- 299 clinicians in this Medicare group
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
West Union, IA 52175
- Reassigned Medicare billing, Iowa enrollment
- 155 clinicians in this Medicare group
Friendship, WI 53934
- Reassigned Medicare billing, Wisconsin enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Moundview Hospital And Clinics
Critical Access Hospitals · Friendship, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Shawn Sedgwick's NPI number?
The NPI number for Shawn Sedgwick is 1679559298. It was assigned to this individual provider in the NPPES registry on December 15, 2005.
Where is Shawn Sedgwick located?
Shawn Sedgwick practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Shawn Sedgwick's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shawn Sedgwick enrolled in Medicare?
Yes. Shawn Sedgwick 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.
Which organizations bill Medicare for Shawn Sedgwick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Sedgwick reassigns Medicare benefits to 10 organizations: Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Gundersen Clinic Ltd (La Crosse, WI), Vernon Memorial Healthcare, Inc. (Westby, WI), Tri-County Memorial Hospital, Inc. (Blair, WI), Tomah Memorial Hospital Inc (Tomah, WI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Sedgwick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Sedgwick accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Shawn Sedgwick 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 Shawn Sedgwick affiliated with any hospitals?
According to CMS data, Shawn Sedgwick is affiliated with Gundersen Moundview Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Shawn Sedgwick was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Shawn Thomas Sedgwick, MD · NPI 1679559298
Family Medicine physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since December 15, 2005.
## Identity
- **NPI:** 1679559298 (Entity type: Individual)
- **Enumerated:** December 15, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38787-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Gundersen Lutheran Medical Center, Inc (NPI 1689918377, La Crosse, WI); Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Vernon Memorial Healthcare, Inc. (NPI 1215933767, Westby, WI); Tri-County Memorial Hospital, Inc. (NPI 1659625192, Blair, WI); Tomah Memorial Hospital Inc (NPI 1184765240, Tomah, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** February 2, 2026
- **Other identifiers:** Other 5163 (AK); Other 001063025 (WI); Medicaid MD9374 (AK); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679559298) · Data from the CMS NPPES public registry.