Individual provider Active NPI

Shannyn Sarah Dewey, CNM

  • Midwife
  • Bozeman, MT
National Provider Identifier
1083121180
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
214962 Issued in MT
Practice address
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone
(406) 414-5150
NPI assigned
Jan 10, 2018
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NY
Midwife 176B00000X 214962 MT Primary

Addresses

Primary practice location

905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MT2 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
I20180406000528 NY Practitioner - Certified Nurse Midwife (CNM) 2365705290 Reassigns benefits to 1 organization
I20231027002904 MT Practitioner - Certified Nurse Midwife (CNM) 2365705290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of New Mexico School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

905 Highland Blvd
Suite 4500
Bozeman, MT 59715-6903
Phone (406) 414-5150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214962MTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Sep 17, 2023 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Sep 17, 2023 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 15, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 15, 2020 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

905 Highland Blvd
Ste 4500
Bozeman, MT 59715
Phone (406) 414-5150

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

373 Broadway
Kingston, NY 12401
Phone (845) 303-1132

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1083121180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD STE 4500",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156903",
            "telephone_number": "406-414-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "SHANNYN",
        "middle_name": "SARAH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MT",
            "license": "214962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.