SHANNON BROADWELL
NPI 1497278956
Speech-Language Pathologist in Brighton, MI

Q: What is Shannon Broadwell's NPI number?

The NPI number for Shannon Broadwell is 1497278956. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Q: What is Shannon Broadwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Broadwell was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 17, 2017

2915 MORAINE DR, BRIGHTON, MI 48114(989) 948-0900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Feb 21, 2022, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

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About Shannon Broadwell NPPES

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

SHANNON BROADWELL (NPI 1497278956) is an individual speech-language pathologist provider in Brighton, Michigan and active in the NPI registry since July 2017. She maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1497278956

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON BROADWELL

Location Address2915 MORAINE DRBrighton, MI 48114-9218

Mailing Address5333 Mcauley Dr Rm 2017Ypsilanti, MI 48197-1096 · (734) 434-3200 · Fax (734) 879-0550

Phone(989) 948-0900

Sole ProprietorYes

Enumeration DateJuly 17, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2022

✔ NPI 1497278956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2915 MORAINE DR, Brighton, MI 48114

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Secondary Practice Location 1

Location 15333 McAuley Dr Rm 2017Ypsilanti, MI 48197-1096 · Phone (734) 434-3200 · Fax (734) 879-0550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Broadwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Broadwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ivyrehab Michigan, LLC

16 mi

Sports Medicine

400 ROUNDS DR
Fenton, MI 48430

Reassigned Medicare billing, Michigan enrollment
339 clinicians in this Medicare group

NPI 1104337120 (810) 750-1996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shannon Broadwell's NPI number?

The NPI number for Shannon Broadwell is 1497278956. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Shannon Broadwell located?

Shannon Broadwell practices at 2915 Moraine Dr, Brighton, MI 48114. The listed phone number is (989) 948-0900.

What is Shannon Broadwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shannon Broadwell enrolled in Medicare?

Yes. Shannon Broadwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Broadwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Broadwell reassigns Medicare benefits to Ivyrehab Michigan, LLC (Fenton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Broadwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Broadwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shannon Broadwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Broadwell was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.