CAROLINE CUCKLER SHANE CRNP
NPI 1083194914
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Caroline Cuckler Shane Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE CUCKLER SHANE CRNP (NPI 1083194914) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018621) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caroline Cuckler Shane Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Caroline Shane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Childrens Health Care Associates Inc
- 1,225 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 19139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19139
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 Caroline Shane's NPI number?
The NPI number for Caroline Shane is 1083194914. It was assigned to this individual provider in the NPPES registry on August 20, 2018.
Where is Caroline Shane located?
Caroline Shane practices at 4865 Market St, Philadelphia, PA 19139. The listed phone number is (267) 425-9800.
What is Caroline Shane's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Caroline Shane enrolled in Medicare?
Yes. Caroline Shane is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Caroline Shane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shane reassigns Medicare benefits to Children's Health Care Associates (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 Caroline Shane'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 Caroline Shane was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Caroline Cuckler Shane, CRNP · NPI 1083194914
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 20, 2018.
## Identity
- **NPI:** 1083194914 (Entity type: Individual)
- **Enumerated:** August 20, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP018621 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4865 MARKET ST, Philadelphia, PA 19139-3508
- **Phone:** (267) 425-9800
## 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:** Children's Health Care Associates (NPI 1619062668, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1083194914) · Data from the CMS NPPES public registry.