Shaun Terrance Okeefe, PAC, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3131-23 Issued in WI

Practice address

235 E State St
Saint Croix Falls, WI 54024-4117

Phone

(715) 483-3261

Fax

(715) 483-0507

NPI assigned

Jun 7, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians

Vohra Post Acute Care Physicians of the East PAGroup PAC ID 5496981243, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sokeefe210609@excellian.direct.allina.com
• FHIR API: https://api.platform.athenahealth.com/15980/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922

  MN

  Medicare reassignment Care Compare group
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  MN

  Medicare reassignment Care Compare group
• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment
• Ladd Memorial Hospital

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Medicare reassignment
• Vohra Wound Physicians of the Mid-West, S.C.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1720536477

  WI

  Medicare reassignment
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Balsam Lake, WI
  • NPI 1013423219
  NPD
• United Woundcare Institute Minnesota PLLC

  • Hospitalist Physician
  • Saint Paul, MN
  • NPI 1851117832
  NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • River Falls, WI
  • NPI 1144608589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1023456456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E STATE ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244117",
            "telephone_number": "715-483-3261",
            "fax_number": "715-483-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E STATE ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244117",
            "telephone_number": "715-483-3261",
            "fax_number": "715-483-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEEFE",
        "first_name": "SHAUN",
        "middle_name": "TERRANCE",
        "credential": "PAC, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11410",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3131-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Novak
• Claudio F. Nunes, M.D.
• Wendy Ann Nunes, M.D.
• Gina M Nygren, LPN
• Alison M Oen, PHARMD
• Joshua J Olinger, PTA
• Orchin Smiles SCF SC
• Danielle R Panik, PA-C
• Abigail Kathleen Peterson
• Janet R Peterson, N.P.

• Physician Assistant in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.