SHANNON L WILSON CNM
NPI 1629344981
Advanced Practice Midwife in East Stroudsburg, PA
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 and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Shannon Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- 305 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
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.
Which organizations bill Medicare for Shannon Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Wilson reassigns Medicare benefits to 4 organizations: Family Care Centers Inc (East Stroudsburg, PA), Lehigh Valley Physician Group (East Stroudsburg, PA), Hazleton Professional Services (Hazleton, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). Each 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Shannon L Wilson, CNM · NPI 1629344981
Advanced Practice Midwife physician in East Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2012.
## Identity
- **NPI:** 1629344981 (Entity type: Individual)
- **Enumerated:** March 30, 2012
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** MW010264 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 E BROWN ST, SUITE 113, East Stroudsburg, PA 18301-3098
- **Phone:** (570) 421-3401 · **Fax:** (570) 421-0560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA); Lehigh Valley Physician Group (NPI 1366236937, East Stroudsburg, PA); Hazleton Professional Services (NPI 1952464638, Hazleton, PA); Schuylkill Health System Medical Group, Inc. (NPI 1063073823, Pottsville, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 30, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1629344981) · Data from the CMS NPPES public registry.