Active NPI
Shannon Morgenstern, NP
- Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP10557
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP10557 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Community Physician PC | Current | Accepting new patients | |
| Arizona Community Physicians PC | Nurse Practitioner | Current | Accepting new patients |
| Arizona Pain Care Center, PLLC | Current | 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
- 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.
-
- Pain Medicine Physician
- Oro Valley, AZ
- NPI 1396246013
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1205871076
Nurse Practitioner
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tucson, AZ
- NPI 1922141902
-
- Interventional Pain Medicine Physician
- Oro Valley, AZ
- NPI 1417253972
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.