Individual provider Active NPI

Shannon L. Morgan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1265166235
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2273634 Issued in MA
Practice address
955 Massachusetts Ave Ste 272
Cambridge, MA 02139-3180
Phone
(774) 473-2272
Fax
(620) 202-7555
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2273634 MA Primary

Addresses

Primary practice location

955 Massachusetts Ave Ste 272
Cambridge, MA 02139-3180

Mailing address

955 Massachusetts Ave Ste 272
Cambridge, MA 02139-3180
Phone (774) 473-2272

Other practice location 1

137 Union St
New Bedford, MA 02740-6363
Phone (774) 473-2272

Other identifiers 1

IdentifierTypeStateIssuer
110196652AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.morgan2@uhsinc.com Direct

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
I20221025000682 MA Practitioner - Nurse Practitioner 8022484575 Practice locations: Plymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 Water St
Suite A226
Plymouth, MA 02360-4065
Phone (508) 717-5937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2273634MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Therapy and Medication Management Psychiatric/Mental Health CurrentSince Aug 16, 2023 Accepting new patients

Locations

955 Massachusetts Ave
Ste 272
Cambridge, MA 02139
Phone (774) 473-2272

Organizations & group practices 1

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1265166235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MASSACHUSETTS AVE STE 272",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393180",
            "telephone_number": "774-473-2272",
            "fax_number": "620-202-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MASSACHUSETTS AVE STE 272",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393180",
            "telephone_number": "774-473-2272",
            "fax_number": "620-202-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Union St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027406363",
            "country_code": "US",
            "telephone_number": "774-473-2272",
            "fax_number": "620-202-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHANNON",
        "middle_name": "L.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2273634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110196652A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.morgan2@uhsinc.com",
            "affiliation": "N",
            "endpointDescription": "work site email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "199 Oak St",
            "city": "Pembroke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023591953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.