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

Mary Grace Shanabarger, APNP, AGPCNP-BC

Individual provider General Practice Registered Nurse · NPI 1255148656

Mary Grace Shanabarger, APNP, AGPCNP-BC is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2024, 2 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710
Phone: (414) 272-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 — (262) 366-7437
  • N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 — (262) 696-0808

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16303 (WI)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 256531-30 (WI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 16303-33 (WI)

Record details

NPI number1255148656
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP , AGPCNP-BC
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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