MADDISON GWYNN SHUMWAY (NP) – Family Nurse Practitioner, NPI 1205408762

MADDISON GWYNN SHUMWAY (NP) is a healthcare provider. based in Taunton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2330271 (MA). The NPI Number for MADDISON GWYNN SHUMWAY (NP) is 1205408762

Main info

Female
5 Years Of Experience
Name
MADDISON GWYNN SHUMWAY (NP)
NPI
1205408762
Phone
(508) 846-6622
Address
77 BRIAR RD
Enumeration Date
14 July 2021
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812801683
Graduation Year
2021 (5 years ago)
PAC ID
2668861063
Group Practice PAC ID
1052536000
Professional Enrollment ID
I20211104002713
Address ID
MA027675446RA106XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MADDISON GWYNN SHUMWAY (NP)

  • 77 BRIAR RD

    TAUNTON, MA 027802225

    Phone: (508) 846-6622

    Type: Mailing

  • 72 WASHINGTON ST

    TAUNTON, MA 027802491

    Phone: (508) 880-0077

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211104002713INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report197185$0
99213Established patient office or other outpatient visit, 20-29 minutes178164$0
99214Established patient office or other outpatient visit, 30-39 minutes4842$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4747$0
93280Programming of dual lead pacemaker system2424$0
View full utilization report →

Insurance plans in this area (ZIP 02780)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052536000View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA

Reviews

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Frequently asked questions

What federal number belongs to MADDISON GWYNN SHUMWAY (NP)?
The federal identifier for MADDISON GWYNN SHUMWAY (NP) is NPI 1205408762.
Is MADDISON GWYNN SHUMWAY (NP) active in the national directory?
MADDISON GWYNN SHUMWAY (NP)'s public NPI profile is in an active state.
What does MADDISON GWYNN SHUMWAY (NP) treat or focus on?
Patients typically see MADDISON GWYNN SHUMWAY (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MADDISON GWYNN SHUMWAY (NP)?
The page summarizes Taunton, Massachusetts for MADDISON GWYNN SHUMWAY (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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