Shannon N Coakley, PA
Individual provider Active NPI Physician Assistant · Milwaukee, WI
NPI 1295786341 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295786341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 911 (WI)
- Practice address
- 9200 W Wisconsin Ave
Hospital Based @ Froedtert Hosp.
Milwaukee, WI 53226-3522 - Phone
- (414) 805-3666
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reedsburg Area Medical Center Inc
Practice addresses (Care Compare)
110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900
1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900
1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487
Hospital & facility affiliations
- Reedsburg Area Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.64 of 100
- Quality
- 97.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.19 of 100
- Quality
- 74.01
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305001058 | WI | Practitioner - Physician Assistant | 9335037969 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health Inc. | Current |
Accepting new patients | |
| Upland Hills Health, Inc. | Current |
Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Upland Hills Health, Inc | Current |
Accepting new patients | |
| Upland Hills Health, Inc. | Current |
Accepting new patients | |
| Prairie Ridge Health, Inc. | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current |
Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current |
Accepting new patients | |
| Stoughton Hospital Association | Past | Accepting new patients |
Locations
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
1900 N Dewey Ave
Stop 2
Reedsburg, WI 53959
1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477
Interoperability endpoints
- scoakley656408@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 911 | WI | Yes |
Addresses
Primary practice location
9200 W Wisconsin Ave
Hospital Based @ Froedtert Hosp.
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Hospital Based @ Froedtert Hosp.
Milwaukee, WI 53226-3522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42960500 | Medicaid | WI |
Other providers in Milwaukee, WI
- Jeanne L Clow
- Tina Cloyd-Brooks
- Anna Kathryn Cluskey
- CMK Transportation
- Eddy D Co,
- Coalition for Community Empowerment
- Perry G. Coalmon
- Candace E Coates
- Christina Michele Coates
- Julius D Coates
All providers in Milwaukee, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.