P Shattuck, MD
NPI 1740273630 · Emergency Medicine Physician · Berlin, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
P Shattuck, MD is a Emergency Medicine Physician provider in Berlin, WI (NPI 1740273630).
Provider details
- NPI number
- 1740273630
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25430-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- N2934 Highway 22Wautoma, WI 54982-0650Phone: (920) 787-4613Fax: (920) 787-5433
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2023-07-26
- Certified
- 2023-07-26
Frequently asked questions
- What is P Shattuck's NPI number?
- P Shattuck's National Provider Identifier (NPI) is 1740273630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is P Shattuck's specialty?
- P Shattuck is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is P Shattuck located?
- P Shattuck's practice location on file with NPPES is 225 Memorial Dr, Berlin, WI 54923-1243.
- What is P Shattuck's phone number?
- The practice phone number listed in the NPPES registry for P Shattuck is (920) 361-5538.
- Does P Shattuck accept Medicare?
- P Shattuck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is P Shattuck's NPI active?
- Yes — P Shattuck's NPI (1740273630) is active in the NPPES registry as of the last update on 2023-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.