Individual provider Active NPI

Erin Marie Shekane

  • Primary Care Nurse Practitioner
  • Plymouth, MA
National Provider Identifier
1306508684
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN284599 Issued in MA
Practice address
47 Obery St
Plymouth, MA 02360-2229
Phone
(508) 747-1560
Fax
(508) 747-5155
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN284599 MA Primary

Addresses

Primary practice location

47 Obery St
Plymouth, MA 02360-2229

Mailing address

85 High Pines Dr
Kingston, MA 02364-2170
Phone (781) 269-5286

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
I20211109001747 MA Practitioner - Nurse Practitioner 6305235581 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN284599MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Nov 8, 2021 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Nov 8, 2021 Accepting new patients

Locations

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

47 Obery St
Plymouth, MA 02360
Phone (508) 746-8590

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

47 Obery St
Ste 201
Plymouth, MA 02360
Phone (508) 747-1560

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1306508684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HIGH PINES DR",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023642170",
            "telephone_number": "781-269-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OBERY ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602229",
            "telephone_number": "508-747-1560",
            "fax_number": "508-747-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKANE",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN284599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.