Individual provider Active NPI

Shannon Morgenstern, NP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1164940557
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10557 Issued in AZ
Practice address
M.L. Medspa
1643 N. Alvernon Way #103
Tucson, AZ 85712
Phone
(520) 991-7344
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10557 AZ Primary

Addresses

Primary practice location

M.L. Medspa
1643 N. Alvernon Way #103
Tucson, AZ 85712

Mailing address

5055 E Broadway Blvd Ste A100
Tucson, AZ 85711-3629
Phone (520) 382-1205

Other practice location 1

12480 N Rancho Vistoso Blvd Ste 180
Oro Valley, AZ 85755-1994
Phone (520) 312-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171024002388 AZ Practitioner - Nurse Practitioner 2860768512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

12480 N Rancho Vistoso Blvd
Suite 180
Oro Valley, AZ 85755-1994
Phone (520) 742-4008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10557AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Oct 23, 2017 Accepting new patients
Arizona Community Physicians PC Nurse Practitioner Current Accepting new patients
Arizona Pain Care Center, PLLC CurrentSince Feb 28, 2020 Accepting new patients
Arizona Pain Care Associates LLC Past Accepting new patients

Locations

17100 N 67th Ave
Ste 600601
Glendale, AZ 85308
Phone (520) 742-4008

17100 N 67th Ave
Ste 600
Glendale, AZ 85308

1055 N La Canada Dr
Ste 131
Green Valley, AZ 85614
Phone (520) 589-2039

12480 N Rancho Vistoso Blvd
Ste 180
Oro Valley, AZ 85755
Phone (520) 544-5130

5639 E Grant Rd
Tucson, AZ 85712
Phone (520) 615-3444

2222 N Craycroft Rd
Ste 150
Tucson, AZ 85712
Phone (520) 202-3488

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEIBD

Organizations & group practices 4

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1164940557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113629",
            "telephone_number": "520-382-1205",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M.L. MEDSPA",
            "address_2": "1643 N. ALVERNON WAY #103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-991-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12480 N Rancho Vistoso Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857551994",
            "country_code": "US",
            "telephone_number": "520-312-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGENSTERN",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.