Individual provider Active NPI

Shannon Marie Morgan, CNM

  • Advanced Practice Midwife
  • Mansfield Center, CT
National Provider Identifier
1013688324
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
21 Ledgebrook Dr
Mansfield Center, CT 06250-1664
Phone
(774) 272-2629
NPI assigned
Sep 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN2308669 MA
Advanced Practice Midwife 367A00000X CT Primary

Addresses

Primary practice location

21 Ledgebrook Dr
Mansfield Center, CT 06250-1664

Mailing address

10 Partridge Hill Rd
Dudley, MA 01571-6200
Phone (774) 272-2629

Other practice location 1

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211220002173 CT Practitioner - Certified Nurse Midwife (CNM) 4981095346 Reassigns benefits to 1 organization
I20250124001621 MA Practitioner - Certified Nurse Midwife (CNM) 4981095346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

21 Ledgebrook Dr
Mansfield Center, CT 06250-1664
Phone (860) 450-7227

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN2308669MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 14, 2025 Accepting new patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince Feb 1, 2022 Accepting new patients
Obhg Massachusetts - Direct, P.C. CurrentSince Nov 18, 2024 Accepting new patients
North Coast Anesthesia LLC CurrentSince Oct 5, 2021 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

388 W Center St
Manchester, CT 06040
Phone (860) 645-6670

21 Ledgebrook Dr
Mansfield Ctr, CT 06250
Phone (860) 450-7227

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: shannon.morgan.1@10170.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1013688324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARTRIDGE HILL RD",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015716200",
            "telephone_number": "774-272-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LEDGEBROOK DR",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501664",
            "telephone_number": "774-272-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-8706",
            "fax_number": "508-793-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2308669",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield Center, CT

Sources for this page

Verify at the official NPI Registry.