Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisha Frances Fahley, MD

Individual provider Family Medicine Physician · NPI 1255691515

Alisha Frances Fahley, MD is a Family Practice in Shawano, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2012, 14 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56539 (MN)

Record details

NPI number1255691515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESSeptember 1, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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