SHANNON MARIE VONDRA MD
NPI 1720616311
Pediatrics in Oak Creek, WI

Active since March 30, 2020PECOS Enrolled
8375 S HOWELL AVE, OAK CREEK, WI 53154(414) 764-5726(414) 764-6954 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2023, Sep 6, 2023, Feb 2, 2022 and 1 more (4 updates tracked since 2020).

About Shannon Marie Vondra Md NPPES

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

SHANNON MARIE VONDRA MD (NPI 1720616311) is an individual pediatrics provider in Oak Creek, Wisconsin, licensed in Wisconsin (76533-20) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720616311
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON MARIE VONDRACredential: MD
Location Address8375 S HOWELL AVEOak Creek, WI 53154-8344
Mailing Address8375 S Howell AveOak Creek, WI 53154-8344 · (414) 764-5726 · Fax (414) 764-6954
Fax(414) 764-6954
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateNovember 20, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
NPI 1720616311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 76533-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8375 S HOWELL AVE, Oak Creek, WI 53154

Other Names 1

Former Name (1)Shannon Marie White Md

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 (PECOS)

Shannon Marie Vondra Md 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 53154 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 16

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

Pediatrics
8375 S HOWELL AVE
OAK CREEK, WI 53154
Dentist (Pediatric Dentistry)
8375 S HOWELL AVE, #201
OAK CREEK, WI 53154
Pediatrics
8375 S HOWELL AVE
OAK CREEK, WI 53154
Dentist (Pediatric Dentistry)
8375 S HOWELL AVE, #201
OAK CREEK, WI 53154
Social Worker
8375 S HOWELL AVE
OAK CREEK, WI 53154
Pediatrics
8375 S HOWELL AVE
OAK CREEK, WI 53154
Pediatrics
8375 S HOWELL AVE
OAK CREEK, WI 53154
Pediatrics
8375 S HOWELL AVE
OAK CREEK, WI 53154

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 Vondra's NPI number?

The NPI number for Shannon Vondra is 1720616311. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Shannon Marie White MD.

Where is Shannon Vondra located?

Shannon Vondra practices at 8375 S Howell Ave, Oak Creek, WI 53154. The listed phone number is (414) 764-5726.

What is Shannon Vondra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Vondra enrolled in Medicare?

Yes. Shannon Vondra is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Vondra accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Shannon Vondra 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 Vondra was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.