Maddison Gwynn Shumway, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2330271 Issued in MA

Practice address

72 Washington St
Taunton, MA 02780-2491

Phone

(508) 880-0077

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Massachusetts Express Care PLLCGroup PAC ID 1052536000, 9 clinicians

Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maddison.gomes.1@2017.direct.athenahealth.com

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.

• Lifespan Physician Group of Massachusetts Inc

  • Family Medicine Physician
  • Taunton, MA
  • NPI 1235957713
  Medicare reassignment Care Compare group NPD
• Massachusetts Express Care PLLC

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1952725756
  Medicare reassignment Care Compare group NPD
• First Physicians Corporation

  • Emergency Medicine Physician
  • Fall River, MA
  • NPI 1255493474
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1205408762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRIAR RD",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802225",
            "telephone_number": "508-846-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-880-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "MADDISON",
        "middle_name": "GWYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2330271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruce Sherman, DMD
• Harry Leroy Shoemaker, DPM
• Karen Lynn Shore, OTR/L
• Kate Shreckengast, M.A.
• Tammy Lynn Shulenburg, COTA
• Hope Sideleau, LMHC
• Marlena Raye Siegel
• Nicole Hauptman Siegel, M.D.
• Adam James Sifflard
• Adamary Evelisse Silva

• Family Nurse Practitioner in Taunton, MA
• Providers in Taunton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.

Verify at the official NPI Registry.