SHANNON IVES CRNP
NPI 1063919611
Nurse Practitioner - Obstetrics & Gynecology in East Stroudsburg, PA

Q: 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.

Q: What is Shannon Ives's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: 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.

Active since April 10, 2018PECOS Enrolled

79.45/100

CMS Quality Rating

228 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301(570) 426-2830 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2018, Apr 10, 2018 (2 updates tracked since 2018).

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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.

NPPES Registry Identity

NPI1063919611

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameSHANNON IVESCredential: CRNP

Location Address228 INDEPENDENCE RDEast Stroudsburg, PA 18301-9435

Mailing Address726 Maple Grove RdMoscow, PA 18444-6862 · (570) 237-2312

Phone(570) 426-2830

Sole ProprietorNo

Enumeration DateApril 10, 2018

Last NPPES UpdateNovember 12, 20182 updates tracked since enumeration

✔ NPI 1063919611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in PA · SP018102

228 INDEPENDENCE RD, East Stroudsburg, PA 18301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Ives 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 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.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

79.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.12

Promoting Interoperability

Improvement Activities

Cost

60.65

Other Providers at the Same Location NPPES

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

DR. KIMBERLY MELISSA STAMBAUGH PHARM.D.

Pharmacist

228 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301

Monroe County (570) 420-6420

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.

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.