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

Shannon Pastovic

Individual provider Nurse Practitioner · NPI 1972065407

Shannon Pastovic is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2014, 12 years ago. Practices with Apogee Medical Group Wisconsin SC, a 42-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (920) 433-7970
Fax: (920) 433-3498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9093-33 (WI)

Record details

NPI number1972065407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESApril 3, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Apogee Medical Group Wisconsin Sc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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