Active NPI
Shelly Ann Morgan, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1720178700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP4020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432307199 | Other | ME | MAINECARE |
Other names 1
- Shelly Ann Barnett
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN168191 | AZ | MD | Registered Nurse |
| AP081793 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Services, Inc. | Current | Accepting new patients | |
| Behavioral Healthcare Services, Inc. | Current | Accepting new patients | |
| Tri-County Mental Health Services | Past | Accepting new patients | |
| Cornerstone Behavioral Healthcare, LLC | Past | Accepting new patients | |
| Northeast Occupational Exchange, Inc | Registered Nurse | Past | Accepting new patients |
| Spurwink Services Incorporated | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1730112483
NM
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1255780037
-
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1215102850
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
-
- Mental Health Counselor
- Lewiston, ME
- NPI 1215979158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.