Shawn M McGee, CNP
Individual provider Active NPI Family Nurse Practitioner · Cedar Crest, NM
NPI 1447770698 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1447770698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP03253 (NM)
- Practice address
- 12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9499 - Phone
- (505) 350-9600
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171006000757 | NM | Practitioner - Nurse Practitioner | 5496020034 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP03253 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn'S Enterprises | Current | Accepting new patients | |
| Unm Medical Group Inc | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients |
Locations
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP03253 | NM | Yes |
Addresses
Primary practice location
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9499
Mailing address
80 B Veterans Blvd
Pueblo of Acoma, NM 87034
Phone (505) 552-5300
Other practice location 1
1007 N Pope St
Silver City, NM 88061-5161
Other practice location 2
1007 N Pope St
Silver City, NM 88061-5161
Phone (575) 388-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3451 | Medicaid | NM |
Other providers in Cedar Crest, NM
- Terea Ann Martinez
- Madelynn Masciantoni
- Mariah Masciantoni
- May Pharmacy Cedar Crest Inc
- Madison McCoy
- McLeod Medical Centers of NM, Inc.
- McLeod Medical Centers of NM, Inc.
- Orrin Kent McLeod
- Jennifer Alyx Medlock
- Sarah Messler
All providers in Cedar Crest, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.