Individual provider Active NPI

Shelly Ann Morgan, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1720178700
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4020 Issued in AZ
Practice address
707 Broadway Blvd NE Ste 400
Albuquerque, NM 87102-2366
Phone
(505) 268-0701
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN168191 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R050690 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP081793 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4020 AZ Primary

Addresses

Primary practice location

707 Broadway Blvd NE Ste 400
Albuquerque, NM 87102-2366

Mailing address

707 Broadway Blvd NE Ste 400
Albuquerque, NM 87102-2366
Phone (505) 268-0701

Other identifiers 1

IdentifierTypeStateIssuer
432307199OtherMEMAINECARE

Other names 1

  • Shelly Ann Barnett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20140807000582 NM Practitioner - Nurse Practitioner 8123026648 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN168191AZMDRegistered Nurse
AP081793MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Services, Inc. CurrentSince Jan 16, 2017 Accepting new patients
Behavioral Healthcare Services, Inc. Current Accepting new patients
Tri-County Mental Health Services PastSince Jul 28, 2005 Accepting new patients
Cornerstone Behavioral Healthcare, LLC Past Accepting new patients
Northeast Occupational Exchange, Inc Registered Nurse PastSince Sep 5, 2023 Accepting new patients
Spurwink Services Incorporated PastSince Mar 17, 2025 Accepting new patients

Locations

707 Broadway Blvd NE
Ste 500
Albuquerque, NM 87102
Phone (505) 248-2726

2551 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 338-3320

Organizations & group practices 6

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1720178700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE STE 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022366",
            "telephone_number": "505-268-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE STE 400",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022366",
            "telephone_number": "505-268-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN168191",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R050690",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "AP081793",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "432307199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BARNETT",
            "middle_name": "ANN",
            "credential": "PMH-NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.