Sophie Shackley, PA-C
NPI 1376165548 · Medical Physician Assistant · Fitchburg, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophie Shackley, PA-C is a Medical Physician Assistant provider in Fitchburg, WI (NPI 1376165548).
Provider details
- NPI number
- 1376165548
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8537-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Frequently asked questions
- What is Sophie Shackley's NPI number?
- Sophie Shackley's National Provider Identifier (NPI) is 1376165548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sophie Shackley's specialty?
- Sophie Shackley is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sophie Shackley located?
- Sophie Shackley's practice location on file with NPPES is 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376.
- What is Sophie Shackley's phone number?
- The practice phone number listed in the NPPES registry for Sophie Shackley is (608) 274-5300.
- Does Sophie Shackley accept Medicare?
- Sophie Shackley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sophie Shackley's NPI active?
- Yes — Sophie Shackley's NPI (1376165548) is active in the NPPES registry as of the last update on 2026-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.