CAROLINE CUCKLER SHANE CRNP
NPI 1083194914
Nurse Practitioner - Pediatrics in Philadelphia, PA

Q: 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.

Q: What is Caroline Shane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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 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 August 20, 2018PECOS Enrolled

4865 MARKET ST, PHILADELPHIA, PA 19139(267) 425-9800 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1083194914

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCAROLINE CUCKLER SHANECredential: CRNP

Location Address4865 MARKET STPhiladelphia, PA 19139-3508

Mailing Address6 Post RdMalvern, PA 19355-3509

Phone(267) 425-9800

Sole ProprietorNo

Enumeration DateAugust 20, 2018

✔ NPI 1083194914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in PA · SP018621

4865 MARKET ST, Philadelphia, PA 19139

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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)

Caroline Cuckler Shane 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 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.

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.

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.

HANNAH BROWN MS, LPC

Counselor (Professional)