Edward Shackleford DO
About this NPIWhat this record shows.
NPI 1790769800 is registered to Edward Shackleford DO, a Emergency Medicine practising at 10400 75th St, Aurora Medical Center in Kenosha, Wisconsin. Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Edward Shackleford DO has been enumerated in the National Provider Identifier (NPI) registry since 2005.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 30099700WI
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20090618000623Emergency MedicineWI
- I20240914000262Emergency MedicineTX
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Edward Shackleford DO accepts. To confirm in-network status with your specific health plan, contact Edward Shackleford DO directly at (262) 697-7000.
Frequently asked
Yes. NPI 1790769800 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Emergency Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 697-7000.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Edward Shackleford DO is a Type-1 individual NPI.