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

Shannon L. Huettl, PA

Individual provider Physician Assistant · NPI 1194752824

Shannon L. Huettl, PA is a Physician Assistant in Appleton, Wisconsin. Qualified in 2001, 25 years ago. Practices with Fox Valley Surgical Associates Ltd, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2500 E Capitol Dr Ste 1700
Appleton, WI 54911-8735
Phone: (920) 731-8131
Fax: (920) 832-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 E Milestone Dr, Appleton, WI 54913-6701 — (920) 731-8131

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1435 (WI)

Record details

NPI number1194752824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Fox Valley Surgical Associates Ltd — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Appleton