Individual provider Active NPI

Shirley A Neyhart, N.P.

  • Primary Care Nurse Practitioner
  • Mattapoisett, MA
National Provider Identifier
1124245238
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN260865 Issued in MA
Practice address
76 County Rd
Mattapoisett, MA 02739-1592
Phone
(774) 377-9308
Fax
(855) 591-0161
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN260865 MA Primary
Registered Nurse 163W00000X 260865 MA

Addresses

Primary practice location

76 County Rd
Mattapoisett, MA 02739-1592

Mailing address

76 County Rd
Mattapoisett, MA 02739-1592
Phone (774) 377-9308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140716001823 MA Practitioner - Nurse Practitioner 8022234624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
260865MAMDRegistered Nurse
RN260865MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Changing Tides Natural Health PLLC Primary Care PastSince Sep 8, 2024 Accepting new patients

Locations

21 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 495-5160

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1124245238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391592",
            "telephone_number": "774-377-9308",
            "fax_number": "855-591-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391592",
            "telephone_number": "774-377-9308",
            "fax_number": "855-591-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYHART",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN260865",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "260865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapoisett, MA

Sources for this page

Verify at the official NPI Registry.