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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639652878

Shanise Margot Perez, CNP is a Nurse Practitioner in Southbridge, Massachusetts. Qualified in 2019, 7 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

29 Pine St
Southbridge, MA 01550-1823
Phone: (508) 765-9167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 340 Thompson Rd, Webster, MA 01570-1509 — (508) 640-2986

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2293487 (MA)

Record details

NPI number1639652878
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 13, 2018
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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