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

Shanna Larochelle

Individual provider Physician Assistant · NPI 1508352311

Shanna Larochelle is a Physician Assistant in Kewaunee, Wisconsin. Qualified in 2018, 8 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018

Practice location Address checks out

1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone: (920) 388-0144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 911 Green Bay Rd Ste 103, Sturgeon Bay, WI 54235-3814 — (920) 743-5566
  • 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 — (920) 743-5566

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508352311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address1020 Marquette Dr, Kewaunee, WI 54216-1782

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Kewaunee