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BRIAN HUGH SHANNON APN
NPI 1003214842
Nurse Practitioner - Acute Care in Vineland, NJ

Active since December 10, 2014PECOS EnrolledAccepts Medicare Assignment
91.73/100
CMS Quality Rating
1138 E CHESTNUT AVE STE 8B, VINELAND, NJ 08360(856) 213-9733(856) 575-5080 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2025, May 31, 2025, Nov 20, 2024 and 5 more (8 updates tracked since 2016).

About Brian Hugh Shannon Apn NPPES

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

BRIAN HUGH SHANNON APN (NPI 1003214842) is an individual acute care provider in Vineland, New Jersey, licensed in New Jersey (26NJ00533400) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Vineland, and maintains a secondary practice location in Marlton.

NPPES Registry Identity

NPI1003214842
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRIAN HUGH SHANNONCredential: APN
Location Address1138 E CHESTNUT AVE STE 8BVineland, NJ 08360-5053
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 247-7210 · Fax (856) 247-7511
Phone(856) 213-9733
Fax(856) 575-5080
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 10, 2014
Last NPPES UpdateDecember 24, 20258 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1003214842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00533400
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00533400 (NJ)
1138 E CHESTNUT AVE STE 8B, Vineland, NJ 08360
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Renaissance Square, 141 Route 70, Suite BMarlton, NJ 08053 · Phone (856) 596-9057

Other Identifiers 1

Medicaid0454061NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Brian Hugh Shannon Apn 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.

PECOS PAC ID1850619230
PECOS Enrollment IDI20150415000829
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

5

Medicare enrollment records show Brian Shannon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
17 mi
Urgent Care
239 HURFFVILLE CROSSKEYS RD STE 160
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1720538564 (856) 341-8200
Inspira Health Network Medical Group, P.C.
17 mi
Multi-Specialty
1120 DELSEA DR N
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Inspira Health Network Medical Group PC
  • 258 clinicians in this Medicare group
NPI 1922177856 (856) 507-2783
Advocare, LLC
29 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
Joseph P. Curreri, D.O., LLC
32 mi
Pulmonary Disease
124 LEXINGTON AVE
Merchantville, NJ 08109
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1962601278 (856) 663-1121
Peter A. Curreri, D.O., L.L.C.
32 mi
Pulmonary Disease
124 LEXINGTON AVE
Merchantville, NJ 08109
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1194924613 (856) 663-1121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
52 services22 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
46 services22 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.62
Improvement Activities40
Cost39.62

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%31 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LENZI APN
Nurse Practitioner (Acute Care)
1138 E CHESTNUT AVE STE 8B
VINELAND, NJ 08360
Cumberland County (856) 213-9733

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 Brian Shannon's NPI number?

The NPI number for Brian Shannon is 1003214842. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Brian Shannon located?

Brian Shannon practices at 1138 E Chestnut Ave Ste 8B, Vineland, NJ 08360. The listed phone number is (856) 213-9733.

What is Brian Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brian Shannon enrolled in Medicare?

Yes. Brian Shannon 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 Brian Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Shannon reassigns Medicare benefits to 5 organizations: Virtua Medical Group, PA (Sewell, NJ), Inspira Health Network Medical Group, P.C. (Glassboro, NJ), Advocare, LLC (Marlton, NJ), Joseph P. Curreri, D.O., LLC (Merchantville, NJ) and Peter A. Curreri, D.O., L.L.C. (Merchantville, NJ). 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 Brian Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Shannon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Brian Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Shannon affiliated with any hospitals?

According to CMS data, Brian Shannon is affiliated with Inspira Medical Center Vineland.

When was this NPI record last updated?

The NPPES record for Brian Shannon was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.