Individual provider Active NPI

Paula M Shonak, N.P.

  • Acute Care Nurse Practitioner
  • Southbridge, MA
National Provider Identifier
1609042746
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN213992 Issued in MA
Practice address
79 Sayles St
Southbridge, MA 01550-1729
Phone
(508) 764-6041
Fax
(508) 764-6318
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 213992 MA
Acute Care Nurse Practitioner 363LA2100X RN213992 MA Primary

Addresses

Primary practice location

79 Sayles St
Southbridge, MA 01550-1729

Mailing address

PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799

Other practice location 1

444 Montgomery Street
Chicopee, MA 01020-1997
Phone (413) 598-7440

Other identifiers 1

IdentifierTypeStateIssuer
110080360AMedicaidMA

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
I20081023000257 MA Practitioner - Nurse Practitioner 5890853691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771

118 W Main St
Spencer, MA 01562-2621
Phone (508) 885-3025

340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 943-5132

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN213992MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Pioneer Valley Cardiology Associates ,Inc. CurrentSince Aug 24, 2015 Accepting new patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Aug 24, 2015 Accepting new patients
Umass Memorial Health-Harrington Hospital Inc CurrentSince Feb 19, 2018 Accepting new patients
Baystate Medical Practices, Inc Acute Care Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

100 South St
Ste 102
Southbridge, MA 01550
Phone (508) 765-7860

79 Sayles St
Southbridge, MA 01550
Phone (508) 764-3200

118 W Main St
Spencer, MA 01562
Phone (508) 885-3025

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 748-7095

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paulashonak@hps.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1609042746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500040",
            "telephone_number": "508-909-7799",
            "fax_number": "508-764-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SAYLES ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501729",
            "telephone_number": "508-764-6041",
            "fax_number": "508-764-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Montgomery Street",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010201997",
            "country_code": "US",
            "telephone_number": "413-598-7440",
            "fax_number": "413-598-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHONAK",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "213992",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN213992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110080360A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.