Shawn Ann Pflugardt, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2128-057 Issued in WI

Practice address

1020 Kabel Ave
Rhinelander, WI 54501-3918

Phone

(715) 361-2805

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, 166 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spflugardt166969@direct.phci.org

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.

• Aspirus Riverview Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment Care Compare group NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Medicare reassignment NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD
• Aspirus Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Wausau, WI
  • NPI 1942084199
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Marshfield, WI
  • NPI 1124633870
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Wisconsin Rapids, WI
  • NPI 1568821122
  NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1679706022
  NPD
• Meta Associates, Inc

  • Clinical Social Worker
  • Wisconsin Rapids, WI
  • NPI 1770548695
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1346358447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KABEL AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013918",
            "telephone_number": "715-361-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KABEL AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013918",
            "telephone_number": "715-361-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUGARDT",
        "first_name": "SHAWN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2128-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petersen Health Care of Wi, Inc.
• Petersen Health Care of Wi, Inc.
• Petersen Health Care of Wi, Inc.
• Petersen Rehabilitation Center, Inc.
• Nicole Marie Peterson, FNP-C
• Physical Medicine of Northern Wisconsin SC
• Physical Therapy Center of Rhinelander, Inc.
• Julia Elizabeth Pickens, M.D.
• Stephanie Ann Pittman, ED.D.
• Bridget Plautz

• Clinical Psychologist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.