Individual provider Active NPI

Madison Shumake, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Martin, TN
National Provider Identifier
1346068558
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
36845 Issued in TN
Practice address
143 Kennedy Dr
Martin, TN 38237-3309
Phone
(731) 514-8799
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 36845 TN Primary

Addresses

Primary practice location

143 Kennedy Dr
Martin, TN 38237-3309

Mailing address

1112 Stella Ruth Rd
Martin, TN 38237-2573
Phone (731) 514-8799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241205002099 TN Practitioner - Certified Nurse Midwife (CNM) 2365978038 Reassigns benefits to 1 organization
I20241213001406 TN Practitioner - Nurse Practitioner 2365978038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

143 Kennedy Dr
Martin, TN 38237-3309

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36845TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Advanced Practice Midwife CurrentSince Nov 1, 2024 Accepting new patients
WT Medical Associates CurrentSince Nov 1, 2024 Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321

205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1346068558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 STELLA RUTH RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372573",
            "telephone_number": "731-514-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-514-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "MADISON",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "36845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.