KEISHA SHAVON PAUL DNP, CNM, MS
NPI 1235009648
Midwife in Stony Brook, NY

Active since November 10, 2025PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-4686 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 23, 2026, Nov 10, 2025 (2 updates tracked since 2025).

About Keisha Shavon Paul Dnp, Cnm, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA SHAVON PAUL DNP, CNM, MS (NPI 1235009648) is an individual midwife in Stony Brook, New York and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235009648
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameKEISHA SHAVON PAULCredential: DNP, CNM, MS
Location Address101 NICOLLS RDStony Brook, NY 11794-8240
Mailing Address101 Nicolls RdStony Brook, NY 11794-8240 · (631) 444-4686
Sole ProprietorNo
Enumeration DateNovember 10, 2025
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1235009648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
101 NICOLLS RD, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Shavon Paul Dnp, Cnm, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Paul's NPI number?

The NPI number for Keisha Paul is 1235009648. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Keisha Paul located?

Keisha Paul practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-4686.

What is Keisha Paul's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Keisha Paul enrolled in Medicare?

Yes. Keisha Paul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keisha Paul was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.