Individual provider Active NPI

Brooke Shannon, PA

  • Physician Assistant
  • Platteville, WI
National Provider Identifier
1740756261
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5659-23 Issued in WI
Practice address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone
(608) 342-5060
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5659-23 WI Primary

Addresses

Primary practice location

1450 Eastside Rd
Platteville, WI 53818-9800

Mailing address

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 342-5060

Other practice location 1

507 S Monroe St
Lancaster, WI 53813-2099
Phone (608) 723-2143

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
I20220105000418 WI Practitioner - Physician Assistant 1355681750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians
Grant Regional Health Center IncGroup PAC ID 9638079445, 36 clinicians

Practice addresses (Care Compare)

133 Performance Dr
Darlington, WI 53530-9393
Phone (608) 776-4413

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2131

Hospital & facility affiliations

  • Southwest Health Center Hospital, Platteville, WI, CCN 521354
  • Grant Regional Health Center Hospital, Lancaster, WI, CCN 521322

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5659-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Southwest Health Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Rochester General Hospital Past Accepting new patients
Grant Regional Health Center, Inc Past Accepting new patients
Grant Regional Health Center, Inc. Physician Assistant Past Accepting new patients

Locations

2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: bshannon412967@direct-ehr-ssmhc.com
  • Direct secure messaging: bshannon1221366@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1740756261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-342-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-342-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "WI",
            "postal_code": "538132099",
            "country_code": "US",
            "telephone_number": "608-723-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5659-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.