Individual provider Active NPI

Monica Paige Shambo, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1033709068
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-173607 Issued in AL
Practice address
8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone
(251) 747-2237
NPI assigned
Jan 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

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 1-173607 AL
Family Nurse Practitioner 363LF0000X 1-173607 AL Primary

Addresses

Primary practice location

8720 Fairhope Ave
Fairhope, AL 36532-3608

Mailing address

8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone (251) 747-2237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001140 AL Practitioner - Nurse Practitioner 5799141354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-173607ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. CurrentSince Jun 1, 2023 Accepting new patients
Fairhope Urology, PC CurrentSince Jun 4, 2023 Accepting new patients

Locations

134 Hoyle Ave
Fairhope, AL 36532

8720 Fairhope Ave
Fairhope, AL 36532
Phone (251) 990-2241

1506 N McKenzie St
Ste 107
Foley, AL 36535
Phone (251) 923-0550

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

Interoperability endpoints

  • Direct secure messaging: monicashambo@uam.allscriptsdirect.net

Organizations & group practices 2

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 4

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": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1033709068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-747-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-747-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBO",
        "first_name": "MONICA",
        "middle_name": "PAIGE",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-173607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-173607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.