SHANNON IVES CRNP
NPI 1063919611
Nurse Practitioner - Obstetrics & Gynecology in East Stroudsburg, PA
About Shannon Ives Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON IVES CRNP (NPI 1063919611) is an individual obstetrics & gynecology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP018102) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in East Stroudsburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Ives Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Ives reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
E Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shannon Ives's NPI number?
The NPI number for Shannon Ives is 1063919611. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is Shannon Ives located?
Shannon Ives practices at 228 Independence Rd, East Stroudsburg, PA 18301. The listed phone number is (570) 426-2830.
What is Shannon Ives's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Shannon Ives enrolled in Medicare?
Yes. Shannon Ives is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Ives's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ives reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (East Stroudsburg, PA) and Family Care Centers Inc. (E Stroudsburg, PA). 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 Shannon Ives's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Ives accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shannon Ives 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.
When was this NPI record last updated?
The NPPES record for Shannon Ives was last updated on November 12, 2018. 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.
# Shannon Ives, CRNP · NPI 1063919611
Obstetrics & Gynecology physician in East Stroudsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1063919611 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** SP018102 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 228 INDEPENDENCE RD, East Stroudsburg, PA 18301-9435
- **Phone:** (570) 426-2830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1245093368, East Stroudsburg, PA); Family Care Centers Inc. (NPI 1669563037, E Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063919611) · Data from the CMS NPPES public registry.