Shannon M Fogarty
N.P. | Nurse Practitioner | 26+ years Exp
1055 N Mayfair Rd, Wauwatosa
Wisconsin, 53226
414-479-2300
Shannon M Fogarty is a Wauwatosa, Wisconsin based nurse practitioner with 26 years of experience in . She completed her graduation from University Of Wisconsin School Of Medicine in 1999. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon M Fogarty is 1545-033 in Wisconsin. Her current practice location is 1055 N Mayfair Rd, Wauwatosa. Patients can reach her at 414-479-2300. Shannon M Fogarty is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1508801622.
Shannon M Fogarty has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Shannon M Fogarty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shannon M Fogarty |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 26+ years |
| Medical School Attended: | University Of Wisconsin School Of Medicine |
| Graduation Year: | 1999 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1055 N Mayfair Rd, Wauwatosa,
Wisconsin, 53226 |
| Phone: | 414-479-2300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1951378272 |
| Enrollment ID: | I20040915000432 |
| NPI Number: | 1508801622 |
| NPI Enumeration Date: | 20 Jun, 2006 |
| NPI Last Update On: | 18 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon M Fogarty are as mentioned below.
| License Number | Specialization | State | Status | |
| 1545-033 | | Wisconsin | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shannon M Fogarty is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Aurora Advanced Healthcare Inc (3375625833) | 888 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon M Fogarty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500014946 | Other | Wisconsin | MEDICARE RAILROAD |
| 43917700 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shannon M Fogarty
1055 N Mayfair Rd,
Wauwatosa, Wisconsin |
| Zip: | 53226-3436 |
| Phone Number: | 414-479-2300 |
Patients can reach Shannon M Fogarty at
1055 N Mayfair Rd, Wauwatosa, Wisconsin or can
call to book an appointment on 414-479-2300.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.