NPIMap

Individual provider Active NPI

Megan Leigh Shepard, CNM

  • Advanced Practice Midwife
  • Marshall, MO
National Provider Identifier
1033401328
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2010021104 Issued in MO
Practice address
2305 South 65 Highway, Building a
Marshall Women'S Center
Marshall, MO 65340-3702
Phone
(660) 886-7800
Fax
(660) 831-3346
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2003016308 MO
Advanced Practice Midwife 367A00000X 2010021104 MO Primary

Addresses

Primary practice location

2305 South 65 Highway, Building a
Marshall Women'S Center
Marshall, MO 65340-3702

Mailing address

2305 South 65 Highway, Building a
Marshall, MO 65340-3702
Phone (660) 886-6677

Other identifiers 1

IdentifierTypeStateIssuer
1033401328MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MEGANSHEPARD1@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000476 MO Practitioner - Certified Nurse Midwife (CNM) 7416133681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Fitzgibbon Memorial Hospital IncGroup PAC ID 2567351570, shared by 12 NPIs, 45 clinicians

Practice addresses (Care Compare)

2305 S Hwy 65
Marshall, MO 65340-3702
Phone (660) 831-3553

Hospital & facility affiliations

  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003016308MOMDRegistered Nurse
2010021104MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince Jun 1, 2011 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Jun 1, 2011 Accepting new patients

Locations

815 E Broadway St
Brunswick, MO 65236
Phone (660) 548-3161

600 W Morrison St
Ste 5
Fayette, MO 65248
Phone (660) 248-2900

2303 S Highway 65
Ste A
Marshall, MO 65340
Phone (660) 831-1175

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

212 College St
Pilot Grove, MO 65276
Phone (660) 831-3728

Interoperability endpoints

  • Direct secure messaging: meganshepard1@fitzgibbon.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1033401328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SOUTH 65 HIGHWAY, BUILDING A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-6677",
            "fax_number": "660-831-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SOUTH 65 HIGHWAY, BUILDING A",
            "address_2": "MARSHALL WOMEN'S CENTER",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7800",
            "fax_number": "660-831-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2003016308",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2010021104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033401328",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEGANSHEPARD1@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Megan Shepard John Fitzgibbon Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2305 South 65 Highway, Building A",
            "address_2": "Marshall Women's Center",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.