SHAN NI CRNP
NPI 1013444769
Nurse Practitioner - Family in Philadelphia, PA

Active since May 12, 2017PECOS Enrolled
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3008(215) 707-1387 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2019, May 12, 2017 (2 updates tracked since 2017).

About Shan Ni Crnp NPPES

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

SHAN NI CRNP (NPI 1013444769) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017236) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reading.

NPPES Registry Identity

NPI1013444769
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAN NICredential: CRNP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-3008 · Fax (215) 707-1387
Fax(215) 707-1387
Sole ProprietorNo
Enumeration DateMay 12, 2017
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
NPI 1013444769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP017236
3401 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 148 S 4th StReading, PA 19602-1047 · Phone (610) 481-0481 · Fax (610) 481-0486

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shan Ni Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Shan Ni's NPI number?

The NPI number for Shan Ni is 1013444769. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Shan Ni located?

Shan Ni practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3008.

What is Shan Ni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shan Ni enrolled in Medicare?

Yes. Shan Ni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shan Ni was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.