Individual provider Active NPI

Shannon Janell Meddaugh

  • Family Nurse Practitioner
  • Marshfield, WI
National Provider Identifier
1316417637
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8854 Issued in WI
Practice address
1000 Oak Ave
Marshfield, WI 54449-5444
Phone
(800) 782-8581
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8854 WI
Family Nurse Practitioner 363LF0000X 8854 WI Primary

Addresses

Primary practice location

1000 Oak Ave
Marshfield, WI 54449-5444

Mailing address

9610 Stadt Rd
Marshfield, WI 54449-9083
Phone (715) 240-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002451 WI Practitioner - Nurse Practitioner 8426396730 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8854WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jan 21, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 10, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 21, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 21, 2019 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: shannon.meddaugh@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1316417637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 STADT RD",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544499083",
            "telephone_number": "715-240-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495444",
            "telephone_number": "800-782-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDAUGH",
        "first_name": "SHANNON",
        "middle_name": "JANELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.