Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shannon Marie McGourn, APRN

Individual provider Family Nurse Practitioner · NPI 1104680644

Mrs. Shannon Marie McGourn, APRN is a Nurse Practitioner in Waterbury, Connecticut. Qualified in 2023, 3 years ago. Practices with Mc Diagnostic of Connecticut, PC, a 65-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1279 W Main St
Waterbury, CT 06708-3101
Phone: (203) 755-5490
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F01241425 (CT)

Record details

NPI number1104680644
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mc Diagnostic Of Connecticut, P.C. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waterbury