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

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
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: August 16, 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, is affiliated with Inspira Medical Center Vineland, and is a graduate of Other (2022).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannakay Juddian Thompson-white 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 ID143686055
PECOS Enrollment IDI20230519000016
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.

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

Hospital Affiliations CMS Care Compare 2

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

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shannakay Thompson-white affiliated with any hospitals?

According to CMS data, Shannakay Thompson-white is affiliated with Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

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.