Individual provider Active NPI

Shaughnessy Ann Taylor, CRNP

  • Nurse Practitioner
  • York, PA
National Provider Identifier
1649022401
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP029177 Issued in PA
Practice address
33 Cinema Dr
York, PA 17402-2656
Phone
(717) 755-2146
Fax
(717) 674-7766
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP029177 PA Primary

Addresses

Primary practice location

33 Cinema Dr
York, PA 17402-2656

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 743-1703

Other practice location 1

924 Colonial Ave Ste M
York, PA 17403-3450
Phone (717) 845-4846

Other identifiers 2

IdentifierTypeStateIssuer
1043127240001MedicaidPA
1043127240002MedicaidPA

Other names 1

  • Shaughnessy Ann Migash Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shaughnessytaylorcrnp@fpc.medentdirect.com Health Information Exchange (HIE) FAMILY PRACTICE CENTER, PC
Direct Messaging Address shaughnessytaylorcrnp@fpc.medentdirect.com Health Information Exchange (HIE) FAMILY PRACTICE CENTER, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240418002513 PA Practitioner - Nurse Practitioner 5991144222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

924 Colonial Ave
York, PA 17403-3450
Phone (717) 845-4846

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029177PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Apr 15, 2024 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

33 Cinema Dr
York, PA 17402
Phone (717) 755-2120

924 Colonial Ave
Ste M
York, PA 17403
Phone (717) 845-4846

Interoperability endpoints

  • Direct secure messaging: shaughnessytaylorcrnp@fpc.medentdirect.com

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 4

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1649022401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-743-1703",
            "fax_number": "570-743-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CINEMA DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022656",
            "telephone_number": "717-755-2146",
            "fax_number": "717-674-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Colonial Ave Ste M",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033450",
            "country_code": "US",
            "telephone_number": "717-845-4846",
            "fax_number": "717-845-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHAUGHNESSY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043127240001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043127240002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaughnessytaylorcrnp@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "33 Cinema Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174022656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaughnessytaylorcrnp@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "924 Colonial Ave Ste M",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174033450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAUGHNESSY",
            "last_name": "MIGASH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.