Shannon Leigh Anne Mimnaugh, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB10958200 Issued in NJ

Practice address

1100 Wescott Dr Ste 101
Flemington, NJ 08822-4600

Phone

(908) 788-6535

NPI assigned

Apr 6, 2018

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Chicago College of Osteopathy, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Hunterdon Urgent Care PCGroup PAC ID 9638460876, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shannon.mimnaugh.p117@direct.hunterdon.nextgenshare.com
• Direct secure messaging: shannon.mimnaugh.p119@direct.hunterdon.nextgenshare.com
• Direct secure messaging: shannon.mimnaugh.p2@direct.hunterdon.nextgenshare.com
• Direct secure messaging: shannon.mimnaugh.p25@direct.hunterdon.nextgenshare.com
• Direct secure messaging: shannon.mimnaugh.p90@direct.hunterdon.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hunterdon Primary Care PC

  • Family Medicine Physician
  • Flemington, NJ
  • NPI 1225408883
  Medicare reassignment Care Compare group NPD
• Hunterdon Urgent Care PC

  • Urgent Care Clinic/Center
  • Flemington, NJ
  • NPI 1154791796
  Medicare reassignment Care Compare group NPD
• Hunterdon Primary Care PC

  dba Hunterdon Family Medicine at Hawk Pointe

  • Family Medicine Physician
  • Washington, NJ
  • NPI 1063119634
  NPD
• Hunterdon Primary Care, PC

  dba Hunterdon Family Medicine at Cornerstone

  • Family Medicine Physician
  • Flemington, NJ
  • NPI 1902277361
  NPD
• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  NPD (past)
• Hunterdon Primary Care, PC

  dba Hunterdon Family Medicine at Riverfield

  • Family Medicine Physician
  • Clinton, NJ
  • NPI 1679944599
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1780181743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR STE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR STE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMNAUGH",
        "first_name": "SHANNON",
        "middle_name": "LEIGH ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10958200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Minikus, APN
• Aniyah R Mintz, MHA
• Miracle Dental Associates, LLC
• Ashley Miranda

• Family Medicine Physician in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.

Verify at the official NPI Registry.