Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOPHIE ANN SHACKLEY, PA-C
Active Sole ProprietorSOPHIE ANN SHACKLEY, PA-C is a Medical Physician Assistant healthcare provider located in FITCHBURG, Wisconsin. NPI 1376165548 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FITCHBURG, WI
Registration Details
- NPI Number
- 1376165548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2020 (6.2257882130526 yrs)
- Last Updated
- Feb 19, 2026
- License
-
8537-23 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5543 E CHERYL PKWYFITCHBURG, WI, 537115376Browse WI providers · Browse ZIP 53711
- Phone
- 6082745300
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FITCHBURG, WI
| Name | Credential | NPI |
|---|---|---|
| DEBRA A SCHRADER | PA | 1487693776 |
| MS. VALERIE ANASTASIA CARROLL | PAC | 1861682221 |
| TYLER COLE GORMAN | PA-C | 1184082893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.