Individual provider Active NPI

Katie Layne Shewbart, DO

  • Forensic Pathology Physician
  • Wausau, WI
National Provider Identifier
1437788742
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
8191921 Issued in WI
Practice address
505 W Campus Dr
Wausau, WI 54401-1828
Phone
(715) 261-1199
NPI assigned
Apr 7, 2020
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 8191921 WI Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 8191921 WI

Addresses

Primary practice location

505 W Campus Dr
Wausau, WI 54401-1828

Mailing address

505 W Campus Dr
Wausau, WI 54401-1828
Phone (715) 261-1199

Other names 1

  • Dr. Katie Layne Bowen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8191921WIMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1437788742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W CAMPUS DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011828",
            "telephone_number": "715-261-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W CAMPUS DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011828",
            "telephone_number": "715-261-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWBART",
        "first_name": "KATIE",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "WI",
            "license": "8191921",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "8191921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BOWEN",
            "middle_name": "LAYNE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.