SHANNON L WILSON CNM
NPI 1629344981
Advanced Practice Midwife in East Stroudsburg, PA

Q: What is Shannon Wilson's NPI number?

The NPI number for Shannon Wilson is 1629344981. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Q: What is Shannon Wilson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Wilson was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 30, 2012PECOS EnrolledAccepts Medicare Assignment

79.45/100

CMS Quality Rating

175 E BROWN ST, SUITE 113, EAST STROUDSBURG, PA 18301(570) 421-3401(570) 421-0560 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shannon L Wilson Cnm NPPES

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

SHANNON L WILSON CNM (NPI 1629344981) is an individual advanced practice midwife in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MW010264) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629344981

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameSHANNON L WILSONCredential: CNM

Location Address175 E BROWN ST, SUITE 113East Stroudsburg, PA 18301-3098

Mailing Address206 E Brown St, Pocono Healthcare ManagementEast Stroudsburg, PA 18301-3006 · (570) 420-4951 · Fax (570) 476-3754

Phone(570) 421-3401

Fax(570) 421-0560

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 30, 2012

✔ NPI 1629344981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in PA · MW010264

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

175 E BROWN ST, East Stroudsburg, PA 18301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon L Wilson Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820251028

PECOS Enrollment IDI20120529000069

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.12

Promoting Interoperability

Improvement Activities

Cost

60.65

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.

DR. THOMAS MICHAEL PAPA MD

Internal Medicine (Infectious Disease)

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

MS. CAROL STANEK CRNP

Nurse Practitioner (Family)

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 420-6450

SUSHEER GANDOTRA M.D.

Internal Medicine (Infectious Disease)

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

DR. SHANDURAI TEURAI TAKAVARASHA M.D.

Internal Medicine (Infectious Disease)

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2840

POCONO ORTHOPAEDICS SURGERY

Orthopaedic Surgery

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

SUSHIL S. MODY MD

Pediatrics

175 E BROWN ST, SUITE 108
E STROUDSBURG, PA 18301

Monroe County (570) 476-3585

KIMBERLY DOWNES DO

Pediatrics

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3585

DR. JOSE R BORDAS M.D.

Pediatrics

175 E BROWN ST, SUITE 108
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3585

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 Wilson's NPI number?

The NPI number for Shannon Wilson is 1629344981. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Shannon Wilson located?

Shannon Wilson practices at 175 E Brown St Suite 113, East Stroudsburg, PA 18301. The listed phone number is (570) 421-3401.

What is Shannon Wilson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Shannon Wilson enrolled in Medicare?

Yes. Shannon Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shannon Wilson affiliated with any hospitals?

According to CMS data, Shannon Wilson is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Shannon Wilson was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.