SHAVON ROBIN TATUM RN, FNP-C
NPI 1063274413
Nurse Practitioner in Philadelphia, PA

Q: What is Shavon Tatum's NPI number?

The NPI number for Shavon Tatum is 1063274413. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Q: What is Shavon Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shavon Tatum was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment

3737 MARKET STREET, 9TH FLOOR, PHILADELPHIA, PA 19104(215) 662-8777(215) 243-4601 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shavon Robin Tatum Rn, Fnp-c NPPES

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

SHAVON ROBIN TATUM RN, FNP-C (NPI 1063274413) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029198) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063274413

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHAVON ROBIN TATUMCredential: RN, FNP-C

Location Address3737 MARKET STREET, 9TH FLOORPhiladelphia, PA 19104-5548

Mailing Address3737 Market Street, 9th FloorPhiladelphia, PA 19104-5548 · (215) 662-8777 · Fax (215) 243-4601

Phone(215) 662-8777

Fax(215) 243-4601

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 30, 2024

Last NPPES UpdateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1063274413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in PA · SP029198✔ Licensed in NJ · 26NJ14974500

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3737 MARKET STREET, Philadelphia, PA 19104

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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

Shavon Robin Tatum Rn, Fnp-c 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 ID7517427198

PECOS Enrollment IDI20260902002786

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 Reassignment

Medicare enrollment records show Shavon Tatum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of The University Of Pennsylvania

0.2 mi

Internal Medicine

51 N 39TH ST
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
199 clinicians in this Medicare group

NPI 1124882949 (215) 662-8000

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

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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.

ARSIA JAMALI

Internal Medicine (Gastroenterology)

3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8900

RACHEL DAYNO MD

Internal Medicine (Rheumatology)

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4333

JORDAN ELIZABETH VITELLI PA-C

Physician Assistant

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

SARA JESSICA DOWNIE PA, MPH

Physician Assistant

3737 MARKET STREET, 4TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (856) 264-1549

RACHEL ELIZABETH KISHTON MD

Family Medicine

3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

JULIA CHRISTINE REGER CRNP

Nurse Practitioner (Gerontology)

3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

SAVANNAH MARIE ALVARADO LIPOFF MD

Dermatology

3737 MARKET STREET, 11TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8060

DR. JACQUELINE DEANNA WILSON MD

Internal Medicine

3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

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 Shavon Tatum's NPI number?

The NPI number for Shavon Tatum is 1063274413. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Shavon Tatum located?

Shavon Tatum practices at 3737 Market Street 9th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.

What is Shavon Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shavon Tatum enrolled in Medicare?

Yes. Shavon Tatum 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 organization bills Medicare for Shavon Tatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shavon Tatum reassigns Medicare benefits to Trustees Of The University Of Pennsylvania (Philadelphia, PA). The 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 Shavon Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shavon Tatum affiliated with any hospitals?

According to CMS data, Shavon Tatum is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Shavon Tatum was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.