Individual provider Active NPI

Shawn Thomas Sedgwick, MD

  • Family Medicine Physician
  • La Crosse, WI
National Provider Identifier
1679559298
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38787-020 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Dec 15, 2005
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38787-020 WI Primary
Family Medicine Physician 207Q00000X 5163 AK

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 6

IdentifierTypeStateIssuer
001063025OtherWIMEDICARE
38787-020OtherWISTATE OF WISCONSIN LICENSE
005300461OtherWIMEDICARE
5163OtherAKAK STATE LICENSE
32362200MedicaidWI
MD9374MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080916000266 WI Practitioner - Family Practice 3072595677 Reassigns benefits to 10 organizations
I20240305003347 MN Practitioner - Family Practice 3072595677 Reassigns benefits to 2 organizations
I20240402002109 IA Practitioner - Family Practice 3072595677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38787-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Mar 4, 2024 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 29, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Mar 4, 2024 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Mar 4, 2024 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Mar 8, 2024 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Aug 25, 2008 Accepting new patients
Gundersen Clinic LTD CurrentSince Mar 4, 2024 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Mar 4, 2024 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine CurrentSince Jan 4, 2026 Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Mar 8, 2024 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Mar 4, 2024 Accepting new patients
Palmer Lutheran Health Center, Inc. Family Medicine CurrentSince Mar 27, 2024 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 29, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Mar 4, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Mar 4, 2024 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Bristol Bay Area Health Corporation Past Accepting new patients
Bristol Bay Area Health Corporation Past Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: ssedgwick13152@direct.gundersenhealth.org
  • Direct secure messaging: ssedgwick865600@direct.emplifyhealth.org

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1679559298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300",
            "fax_number": "608-638-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGWICK",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38787-020",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001063025",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN LICENSE",
            "identifier": "38787-020",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "005300461",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK STATE LICENSE",
            "identifier": "5163",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32362200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9374",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.