Individual provider Active NPI

Shannon Malcuit, NP

  • Nurse Practitioner
  • Boxford, MA
National Provider Identifier
1134575491
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
066078-23 Issued in NH
Practice address
200 Washington St
Boxford, MA 01921-1017
Phone
(781) 249-7825
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 268588 MA
Nurse Practitioner 363L00000X 066078-23 NH Primary

Addresses

Primary practice location

200 Washington St
Boxford, MA 01921-1017

Mailing address

12 Sanborn Rd
Hampton, NH 03842
Phone (781) 249-7825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160706002284 MA Practitioner - Nurse Practitioner 0941592224 Reassigns benefits to 1 organization
I20190618001776 NH Practitioner - Nurse Practitioner 0941592224 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066078-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of Ma PLLC CurrentSince Oct 4, 2023 Accepting new patients
Renew Wound Care of New Hampshire LLC CurrentSince Apr 8, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jul 25, 2025 Accepting new patients
Alignmed Medical Group, PC CurrentSince Jul 25, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 25, 2025 Accepting new patients
Medcare NH LLC CurrentSince Apr 19, 2022 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 25, 2025 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (614) 774-7988

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

831 Bedford Ave
Brooklyn, NY 11205

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

7300 State Highway 121
Ste 300374
McKinney, TX 75070

Organizations & group practices 8

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1134575491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SANBORN RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "03842",
            "telephone_number": "781-249-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON ST",
            "city": "BOXFORD",
            "state": "MA",
            "postal_code": "019211017",
            "telephone_number": "781-249-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCUIT",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "268588",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "066078-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boxford, MA

Sources for this page

Verify at the official NPI Registry.