Active NPI
Shannon Marie Murley, FNP-C
- Family Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704417813
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCVirginia Urgent Care LLCNextcare Michigan Providers PLLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20190006493 | MO | MD | Family Nurse Practitioner |
| 0024178893 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Occupational Health P.C. | Current | Accepting new patients | |
| Washtenaw Urgent Care | Current | Accepting new patients | |
| Virginia Urgent Care LLC | Current | Accepting new patients | |
| Nextcare Michigan Providers PLLC | Current | 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
- smurley650577@direct.sentara.net
- 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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1174874531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.