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SHANNAKAY JUDDIAN THOMPSON-WHITE
NPI 1073235578
Nurse Practitioner - Family in Philadelphia, PA

Active since July 19, 2022PECOS Enrolled
1205 SHELMIRE AVE, PHILADELPHIA, PA 19111(856) 392-9900 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2022, Oct 4, 2022, Sep 27, 2022 and 1 more (4 updates tracked since 2022).

About Shannakay Juddian Thompson-white NPPES

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

SHANNAKAY JUDDIAN THOMPSON-WHITE (NPI 1073235578) is an individual family provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ01374700) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073235578
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNAKAY JUDDIAN THOMPSON-WHITE
Location Address1205 SHELMIRE AVEPhiladelphia, PA 19111-2726
Mailing Address1205 Shelmire AvePhiladelphia, PA 19111-2726 · (856) 392-9900
Phone(856) 392-9900
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateNovember 15, 20224 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1073235578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01374700
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR19666000 (NJ), RN695502 (PA)
1205 SHELMIRE AVE, Philadelphia, PA 19111
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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 (PECOS)

Shannakay Juddian Thompson-white 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannakay Thompson-white reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Care Of South Jersey
38 mi
Nephrology
4 BYPASS RD STE 104
Salem, NJ 08079
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1518320555 (856) 887-3005
Tri State Nephrologists LLC
38 mi
Nephrology
5 ROUTE 45 STE 101
Salem, NJ 08079
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1538514666 (856) 887-3005

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 4

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.
192 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
89 services25 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.
84 services22 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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.

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 Shannakay Thompson-white's NPI number?

The NPI number for Shannakay Thompson-white is 1073235578. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Shannakay Thompson-white located?

Shannakay Thompson-white practices at 1205 Shelmire Ave, Philadelphia, PA 19111. The listed phone number is (856) 392-9900.

What is Shannakay Thompson-white's specialty?

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

Is Shannakay Thompson-white enrolled in Medicare?

Yes. Shannakay Thompson-white is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannakay Thompson-white's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannakay Thompson-white reassigns Medicare benefits to 2 organizations: Complete Care Of South Jersey (Salem, NJ) and Tri State Nephrologists LLC (Salem, 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 Shannakay Thompson-white's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannakay Thompson-white was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.