SHANNON PASTOVIC
NPI 1972065407
Nurse Practitioner in Green Bay, WI
About Shannon Pastovic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON PASTOVIC (NPI 1972065407) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (9093-33) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Shannon Pastovic 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 Reassignment
Medicare enrollment records show Shannon Pastovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Apogee Medical Group Wisconsin Sc
- 112 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf St Francis Hospital And Medical Group
Critical Access Hospitals · Escanaba, MIBellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIWatertown Memorial Hospital
Acute Care Hospitals · Watertown, WIReedsburg Area Medical Center
Critical Access Hospitals · Reedsburg, WIBellin Health Oconto Hospital
Critical Access Hospitals · Oconto, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 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.
GREEN BAY, WI 54301
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 Pastovic's NPI number?
The NPI number for Shannon Pastovic is 1972065407. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Shannon Pastovic located?
Shannon Pastovic practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-7970.
What is Shannon Pastovic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shannon Pastovic enrolled in Medicare?
Yes. Shannon Pastovic 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 organization bills Medicare for Shannon Pastovic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Pastovic reassigns Medicare benefits to Apogee Medical Group, Wisconsin, S.C. (Green Bay, WI). The 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 Shannon Pastovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Pastovic accept?
Health plans from CareSource (Common Ground Healthcare) list Shannon Pastovic 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 Shannon Pastovic affiliated with any hospitals?
According to CMS data, Shannon Pastovic is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Watertown Memorial Hospital, Reedsburg Area Medical Center and Bellin Health Oconto Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Pastovic was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shannon Pastovic · NPI 1972065407
Nurse Practitioner physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1972065407 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9093-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 S WEBSTER AVE, Green Bay, WI 54301-3505
- **Phone:** (920) 433-7970 · **Fax:** (920) 433-3498
## 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:** Apogee Medical Group, Wisconsin, S.C. (NPI 1629415591, Green Bay, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972065407) · Data from the CMS NPPES public registry.