Individual provider Active NPI

Shannon L Maaske, CNM

  • Advanced Practice Midwife
  • Chapel Hill, NC
National Provider Identifier
1245277615
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9236921 Issued in FL
Practice address
4011 Old Clinic BLDG CB#7570
Chapel Hill, NC 27599-3717
Phone
(919) 843-2490
Fax
(919) 843-6938
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 485 NC
Advanced Practice Midwife 367A00000X ARNP9236921 FL Primary

Addresses

Primary practice location

4011 Old Clinic BLDG CB#7570
Chapel Hill, NC 27599-3717

Mailing address

PO Box 1357
Fort Myers, FL 33902-1357
Phone (239) 278-3600

Other identifiers 2

IdentifierTypeStateIssuer
Y090MOtherFLBLUE CROSS
307460900MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smaaske145224@direct.UNC.nchie.net Direct
Direct Messaging Address shannon_maaske@med.unc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114001826 NC Practitioner - Certified Nurse Midwife (CNM) 3476657073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9236921FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Nov 16, 2015 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 204
Cary, NC 27519
Phone (919) 481-4747

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

1181 Weaver Dairy Rd
Ste 150
Chapel Hill, NC 27514
Phone (984) 974-7005

101 Manning Dr
#7570
Chapel Hill, NC 27514
Phone (919) 966-4150

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

Interoperability endpoints

  • Direct secure messaging: smaaske145224@direct.unc.nchie.net

Organizations & group practices 2

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1245277615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339021357",
            "telephone_number": "239-278-3600",
            "fax_number": "239-278-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 OLD CLINIC BLDG CB#7570",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993717",
            "telephone_number": "919-843-2490",
            "fax_number": "919-843-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASKE",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "485",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9236921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y090M",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307460900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smaaske145224@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCT/TXT",
            "address_1": "4011 Old Clinic Bldg Cb#7570",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275993717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon_maaske@med.unc.edu",
            "affiliation": "N",
            "address_1": "4011 Old Clinic Bldg Cb#7570",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275993717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.