Individual provider Active NPI

Shannon Marie Murley, FNP-C

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1720545452
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704417813 Issued in MI
Practice address
3280 Washtenaw Ave
Ann Arbor, MI 48104-4283
Phone
(734) 389-2000
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178893 VA
Family Nurse Practitioner 363LF0000X 20190006493 MO
Family Nurse Practitioner 363LF0000X 4704417813 MI Primary

Addresses

Primary practice location

3280 Washtenaw Ave
Ann Arbor, MI 48104-4283

Mailing address

4500 Pond Way Ste 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950

Other practice location 1

601 E 14th St
Sedalia, MO 65301-5972
Phone (660) 826-8833

Other practice location 2

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

Other practice location 3

4500 Pond Way Ste 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200629001511 VA Practitioner - Nurse Practitioner 3779818422 Reassigns benefits to 3 organizations
I20230503003306 NC Practitioner - Nurse Practitioner 3779818422 Reassigns benefits to 1 organization
I20250102002812 MI Practitioner - Nurse Practitioner 3779818422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matrix Occupational Health PC 42 clinicians
Virginia Urgent Care LLC 24 clinicians
Nextcare Michigan Providers PLLC 16 clinicians

Practice addresses (Care Compare)

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277

12581 Milstead Way
Suite 103
Woodbridge, VA 22192-5425
Phone (703) 897-5890

15 S Gateway Dr
Suite 101
Fredericksburg, VA 22406-1231
Phone (540) 368-5603

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

3280 Washtenaw Ave
Ann Arbor, MI 48104-4283
Phone (734) 389-2000

3990 Fettler Park Dr
Dumfries, VA 22025-1997
Phone (571) 499-5813

5825 Plank Rd
Suite 105
Fredericksburg, VA 22407-5207
Phone (540) 785-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20190006493MOMDFamily Nurse Practitioner
0024178893VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Mar 9, 2023 Accepting new patients
Washtenaw Urgent Care Current Accepting new patients
Virginia Urgent Care LLC CurrentSince Feb 1, 2022 Accepting new patients
Nextcare Michigan Providers PLLC CurrentSince Dec 10, 2024 Accepting new patients

Locations

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

3990 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 499-5813

15 S Gateway Dr
Ste 101
Fredericksburg, VA 22406
Phone (540) 368-5603

5825 Plank Rd
Ste 105
Fredericksburg, VA 22407
Phone (540) 785-2727

330 White Oak Rd
Fredericksburg, VA 22405
Phone (540) 373-2424

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Interoperability endpoints

  • Direct secure messaging: smurley650577@direct.sentara.net
  • Direct secure messaging: shannon.murley.1@30520.direct.athenahealth.com

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1720545452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 POND WAY STE 170",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925596",
            "telephone_number": "571-542-4950",
            "fax_number": "571-285-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044283",
            "telephone_number": "734-389-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653015972",
            "country_code": "US",
            "telephone_number": "660-826-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Glensford Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140892",
            "country_code": "US",
            "telephone_number": "910-483-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Pond Way Ste 170",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221925596",
            "country_code": "US",
            "telephone_number": "571-542-4950",
            "fax_number": "571-285-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURLEY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178893",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "20190006493",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704417813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.