Shannon R. Wixom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9059-33 Issued in WI

Practice address

5801 Research Park Blvd Ste 400
Madison, WI 53719-6003

Phone

(608) 729-6344

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon R. Bechtolt Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Womens Health LLPGroup PAC ID 4385837954, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swixom265309@direct.unitypoint.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.

• Madison Women'S Health, LLP

  • Obstetrics & Gynecology Physician
  • Madison, WI
  • NPI 1174851851
  Medicare reassignment Care Compare group NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1699231043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 RESEARCH PARK BLVD STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537196003",
            "telephone_number": "608-729-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 RESEARCH PARK BLVD STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537196003",
            "telephone_number": "608-729-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXOM",
        "first_name": "SHANNON",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "151252-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9059-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BECHTOLT",
            "middle_name": "R.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Witte, NP
• Patricia Ruth Witte, MD
• Pamela Jean Wittig
• Kelcie Wittman
• Nicholas J Wittwer, MS, MFT
• Thomas R Wodushek, PHD
• Lauren Woelffer
• Jenna C Woestman, AU.D.
• Kal Shore Wogahn, LPC
• Melissa Dawn Wohlers, LMSW

• Family Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.