SHANNON L. HUETTL (PA) – Physician Assistant, NPI 1194752824
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for SHANNON L. HUETTL (PA)
2000 E Milestone Dr
Appleton, WI 549136701
Phone: (920) 731-8131
Fax: (920) 832-0444
Type: Location
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549115794
Phone: (920) 996-3264
Fax: (920) 830-5970
Type: Mailing
ThedaCare Regional Medical Center-Appleton, 1818, North Meade Street, Erb Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 54911
Phone: (920) 831-1841
Fax: (920) 831-1934
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 830-5900
Fax: (920) 830-5910
Type: Mailing
333 N GREEN BAY RD
NEENAH, WI 549561954
Phone: (920) 729-6088
Fax: (920) 729-6484
Type: Location
2500 E CAPITOL DR STE 1700
APPLETON, WI 549118735
Phone: (920) 731-8131
Fax: (920) 832-0444
Type: Location
2000 E MILESTONE DR
APPLETON, WI 549136701
Phone: (920) 731-8131
Fax: (920) 832-0444
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2023-10-30 • Largest payer in this snapshot: ABBVIE INC. ($176).
Total Amount
$322
General + Research + Ownership
Payments
9
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $176 |
| Ardelyx, Inc. | $63 |
| GENZYME CORPORATION | $23 |
| Regeneron Healthcare Solutions, Inc. | $22 |
| Gilead Sciences, Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081212000138 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 53 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 62 | 48 | $0 |
| 85007 | Microscopic examination for white blood cells with manual cell count | 34 | 30 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 34 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 54913)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
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