KAILU SHANNON-FROLICH
NPI 1902777121
Midwife in South Weymouth, MA

Active since September 12, 2025PECOS Enrolled
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Sep 12, 2025 (2 updates tracked since 2025).

About Kailu Shannon-frolich NPPES

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

KAILU SHANNON-FROLICH (NPI 1902777121) is an individual midwife in South Weymouth, Massachusetts, licensed in Connecticut (CNM10205) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2025).

NPPES Registry Identity

NPI1902777121
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameKAILU SHANNON-FROLICH
Location Address55 FOGG RDSouth Weymouth, MA 02190-2432
Mailing Address55 Fogg RdWeymouth, MA 02190-2432
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2025
Enumeration DateSeptember 12, 2025
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1902777121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in CT · CNM10205
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.
55 FOGG RD, South Weymouth, MA 02190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3375031644
PECOS Enrollment IDI20251021000179
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kailu Shannon-frolich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group
Internal Medicine
143 LONGWATER DRIVE
Norwell, MA 02061
  • Reassigned Medicare billing, Massachusetts enrollment
  • 346 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.

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Kailu Shannon-frolich's NPI number?

The NPI number for Kailu Shannon-frolich is 1902777121. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Kailu Shannon-frolich located?

Kailu Shannon-frolich practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Kailu Shannon-frolich's specialty?

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

Is Kailu Shannon-frolich enrolled in Medicare?

Yes. Kailu Shannon-frolich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kailu Shannon-frolich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailu Shannon-frolich reassigns Medicare benefits to 2 organizations: Coastal Medical Associates (Weymouth, MA) and South Shore Medical Center, Inc. (Norwell, MA). 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 Kailu Shannon-frolich'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 Kailu Shannon-frolich was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.