Shannon T Archambo, MSN, FNP, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3004033 Issued in WI

Practice address

725 South St
Mayville, WI 53050-1810

Phone

(844) 342-1756

Fax

(262) 373-5608

NPI assigned

Apr 12, 2007

Last updated

Sep 12, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Quad/Med, LLC

  • Primary Care Clinic/Center
  • Mayville, WI
  • NPI 1639728496
  NPD
• N.E.W. Community Clinic, LTD

  • Federally Qualified Health Center (FQHC)
  • Green Bay, WI
  • NPI 1487878328
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1760606594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 COUNTY ROAD C",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543134402",
            "telephone_number": "920-865-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SOUTH ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501810",
            "telephone_number": "844-342-1756",
            "fax_number": "262-373-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBO",
        "first_name": "SHANNON",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3004033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnesian Healthcare Inc (Fond Du Lac Regional Clinic)
• Daniel Steven Allen, DPT
• Julie Allison, NBC-HWC
• Aria of Mayville LLC
• Aurora Advanced Healthcare, Inc.
• Aurora Medical Group, Inc.
• Back in Action Rehabilitation, S.C.
• Rodney L Barnes, DC

• Family Nurse Practitioner in Mayville, WI
• Providers in Mayville, 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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.