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

Ann J Shallue, DO

Individual provider Family Medicine Physician · NPI 1548233356

Ann J Shallue, DO is a Family Practice in Sussex, Wisconsin. Qualified in 2002, 24 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

N57W24950 N Corporate Cir Prohealth Care Medical Associates Inc
Sussex, WI 53089-4383
Phone: (262) 820-3093
Fax: (262) 532-9598
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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 46929 (WI)

Record details

NPI number1548233356
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESNovember 15, 2011
Mailing addressN17w24100 Riverwood Dr Ste 250, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1177

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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