DR. AMY MARIE SHELDON MD
NPI 1831274927
Pathology - Anatomic Pathology & Clinical Pathology in Neenah, WI

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
130 2ND ST, NEENAH, WI 54956(920) 729-3100(920) 923-5260 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amy Marie Sheldon Md NPPES

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

DR. AMY MARIE SHELDON MD (NPI 1831274927) is an individual anatomic pathology & clinical pathology provider in Neenah, Wisconsin, licensed in Wisconsin (29668) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1831274927
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. AMY MARIE SHELDONCredential: MD
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Fax(920) 923-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 18, 2015
✔ NPI 1831274927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in WI · 29668
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
130 2ND ST, Neenah, WI 54956

Other Names 1

Former Name (1)Dr. Amy M Rosenblatt Md

Other Identifiers 3

Medicaid31822000WI
Medicare UPINF36623WI
Medicare PIN000822050WI

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

Dr. Amy Marie Sheldon 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 ID5890738280
PECOS Enrollment IDI20101026000851
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Sheldon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
130 SECOND STREET
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 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 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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
$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.

Pharmacist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956

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 Amy Sheldon's NPI number?

The NPI number for Amy Sheldon is 1831274927. It was assigned to this individual provider in the NPPES registry on October 26, 2006. The provider is also known as Dr. Amy M Rosenblatt MD.

Where is Amy Sheldon located?

Amy Sheldon practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-3100.

What is Amy Sheldon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Amy Sheldon enrolled in Medicare?

Yes. Amy Sheldon 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 Amy Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Sheldon reassigns Medicare benefits to 2 organizations: Fox Valley Pathologists Sc (Neenah, WI) and Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI). 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 Amy Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amy Sheldon affiliated with any hospitals?

According to CMS data, Amy Sheldon is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Amy Sheldon was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.