Individual provider Active NPI

Shannon Taylor Macdowell, AGPCNP-BC, RN

  • Registered Nurse
  • Boston, MA
National Provider Identifier
1205664034
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2372241 Issued in MA
Practice address
273 Clarendon St
Boston, MA 02116-1404
Phone
(617) 536-3726
NPI assigned
Jul 23, 2024
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2372241 MA Primary

Addresses

Primary practice location

273 Clarendon St
Boston, MA 02116-1404

Mailing address

273 Clarendon St
Boston, MA 02116-1404
Phone (617) 536-3726

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
I20250701004344 MA Practitioner - Nurse Practitioner 9739692831 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Massachusetts PC CurrentSince Jun 1, 2025 Accepting new patients
Medical Care of Boston Management Corporation PastSince Jul 1, 2024 Accepting new patients
Hale Barnard Corporation PastSince Jul 1, 2024 Accepting new patients

Locations

1254 Boylston St
Boston, MA 02215
Phone (508) 233-9112

399 Boylston St
Boston, MA 02116
Phone (617) 396-3273

311 Washington St
Brighton, MA 02135
Phone (617) 213-7715

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1205664034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 CLARENDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161404",
            "telephone_number": "617-536-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 CLARENDON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161404",
            "telephone_number": "617-536-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOWELL",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2372241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.