Individual provider Active NPI

Shannon Leigh Reilly, CNM

  • Advanced Practice Midwife
  • Langhorne, PA
National Provider Identifier
1770720575
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone
(215) 710-2000
Fax
(215) 710-4633
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

Mailing address

159 Bayard Street
Port Ewen, NY 12466-0313
Phone (845) 399-3620

Other practice location 1

1450 Chapel St
Women's and Children's Services
New Haven, CT 06511
Phone (203) 789-3663

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308000874 PA Practitioner - Certified Nurse Midwife (CNM) 3072661271 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Apr 1, 2020 Accepting new patients
St Mary Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 14, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Mar 14, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Advanced Practice Midwife Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

2560 Knights Rd
Bensalem, PA 19020
Phone (215) 245-4334

3331 Street Rd
Ste 140
Bensalem, PA 19020
Phone (215) 245-8873

3331 Street Rd
Ste 104
Bensalem, PA 19020

1203 Langhorne Newtown Rd
Ste 336
Langhorne, PA 19047
Phone (215) 322-5042

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2813 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-9666

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

657 Heacock Rd
Yardley, PA 19067
Phone (215) 321-0105

Interoperability endpoints

  • Direct secure messaging: sreilly2013953@direct.trinity-health.org

Organizations & group practices 9

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1770720575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BAYARD STREET",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124660313",
            "telephone_number": "845-399-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471201",
            "telephone_number": "215-710-2000",
            "fax_number": "215-710-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Chapel St",
            "address_2": "Women's and Children's Services",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06511",
            "country_code": "US",
            "telephone_number": "203-789-3663",
            "fax_number": "203-867-5203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.