SHAWN THOMAS SEDGWICK MD
NPI 1679559298
Family Medicine in La Crosse, WI

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Feb 24, 2021, Feb 14, 2019 (3 updates tracked since 2019).

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

NPI1679559298
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAWN THOMAS SEDGWICKCredential: MD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300 · Fax (608) 638-5042
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1994
Enumeration DateDecember 15, 2005
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1679559298 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 · 38787-020 Licensed in AK · 5163
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.
1836 SOUTH AVE, La Crosse, WI 54601

Other Identifiers 6

Other5163AK · Ak State License
Other001063025WI · Medicare
MedicaidMD9374AK
Other38787-020WI · State Of Wisconsin License
Medicaid32362200WI
Other005300461WI · Medicare

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

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.

PECOS PAC ID3072595677
PECOS Enrollment IDI20080916000266
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.

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, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521309
Location402 W Lake StFriendship, WI 53934 · Adams County
Emergency services

Physician 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.

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 20

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

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
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.

What insurance does Shawn Sedgwick accept?

Health plans from HealthPartners and Medica 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 6 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.