NPIMap

Individual provider Active NPI

Shianne Strommen

  • Physician Assistant
  • Beloit, WI
National Provider Identifier
1780313593
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7000-23 Issued in WI
Practice address
1969 W Hart Rd
Beloit, WI 53511-2230
Phone
(608) 214-6153
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 7000-23 WI Primary

Addresses

Primary practice location

1969 W Hart Rd
Beloit, WI 53511-2230

Mailing address

1403 18TH St
Brodhead, WI 53520-2050

Other practice location 1

900 Ridge St
Stoughton, WI 53589-1897
Phone (608) 214-6153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003472 WI Practitioner - Physician Assistant 2769863075 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgerton Hospital and Health Services, IncGroup PAC ID 7719874502, 40 clinicians
Stoughton Hospital AssociationGroup PAC ID 7012825706, 66 clinicians

Practice addresses (Care Compare)

4 Burdick St
Edgerton, WI 53534-1729
Phone (608) 884-3441

5614 US Hwy 51
McFarland, WI 53558-8708
Phone (608) 838-8242

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Hospital & facility affiliations

  • Stoughton Hospital Hospital, Stoughton, WI, CCN 521343
  • Edgerton Hospital and Health Services Hospital, Edgerton, WI, CCN 521319

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
87.42
Promoting interoperability
100
Improvement activities
40
Cost
65.02

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7000-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stoughton Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
Edgerton Hospital and Health Services Inc CurrentSince Mar 11, 2024 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Mar 11, 2024 Accepting new patients
Stoughton Hospital Association CurrentSince Jul 1, 2023 Accepting new patients
Stoughton Hospital Association Past Accepting new patients
Edgerton Hospital and Health Services Past Accepting new patients

Locations

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

5614 US Highway 51
McFarland, WI 53558
Phone (608) 838-8242

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

990 Janesville St
Ste L
Oregon, WI 53575

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • Direct secure messaging: sstrommen396448@direct-ehr-ssmhc.com

Organizations & group practices 9

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 5

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1780313593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 18TH ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-214-6153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891897",
            "country_code": "US",
            "telephone_number": "608-214-6153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROMMEN",
        "first_name": "SHIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7000-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.