NPIMap

Individual provider Active NPI

Shannon N Coakley, PA

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1295786341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
911 Issued in WI
Practice address
9200 W Wisconsin Ave
Hospital Based @ Froedtert Hosp.
Milwaukee, WI 53226-3522
Phone
(414) 805-3666
NPI assigned
May 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 911 WI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305001058 WI Practitioner - Physician Assistant 9335037969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as group
Quality
74.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jan 20, 2018 Accepting new patients
Upland Hills Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince Jan 1, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Nov 1, 2025 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Upland Hills Health, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Nov 1, 2025 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

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

1900 N Dewey Ave
Stop 2
Reedsburg, WI 53959

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Interoperability endpoints

  • Direct secure messaging: scoakley656408@direct.unitypoint.org

Organizations & group practices 12

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295786341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "HOSPITAL BASED @ FROEDTERT HOSP.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "HOSPITAL BASED @ FROEDTERT HOSP.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "SHANNON",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.