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SHANNON CATHLEEN KELLY APN
NPI 1093469744
Nurse Practitioner - Acute Care in Toms River, NJ

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment
94.46/100
CMS Quality Rating
601 ROUTE 37 W STE 104, TOMS RIVER, NJ 08755(732) 240-1100 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Cathleen Kelly Apn NPPES

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

SHANNON CATHLEEN KELLY APN (NPI 1093469744) is an individual acute care provider in Toms River, New Jersey, licensed in New Jersey (26NR01268700) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093469744
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHANNON CATHLEEN KELLYCredential: APN
Location Address601 ROUTE 37 W STE 104Toms River, NJ 08755-8050
Mailing Address601 Rte 37 W Ste 104Toms River, NJ 08755-8050 · (732) 240-1100
Phone(732) 240-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 10, 2022
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1093469744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NR01268700
601 ROUTE 37 W STE 104, Toms River, NJ 08755
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Cathleen Kelly Apn 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 ID2567858111
PECOS Enrollment IDI20220407000023
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

3

Medicare enrollment records show Shannon Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocean Physicians LLC
0.6 mi
Internal Medicine
3 PLAZA DR, SUITE 9
Toms River, NJ 08757
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1407023765 (732) 240-1100
Ocean Primary Care LLC
2.5 mi
Primary Care
1459 SONOMA CT
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1730753062 (732) 240-1100
Change Of Heart Cardiology, LLC
15 mi
Interventional Cardiology
2130 HIGHWAY 35, BLDG C STE 321
Sea Girt, NJ 08750
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1588852016 (732) 974-6700

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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,528 services328 patients
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.
250 services74 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services35 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
32 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services18 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

94.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost64.86

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 Kelly's NPI number?

The NPI number for Shannon Kelly is 1093469744. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Shannon Kelly located?

Shannon Kelly practices at 601 Route 37 W Ste 104, Toms River, NJ 08755. The listed phone number is (732) 240-1100.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shannon Kelly enrolled in Medicare?

Yes. Shannon Kelly 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.

Which organizations bill Medicare for Shannon Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kelly reassigns Medicare benefits to 3 organizations: Ocean Physicians LLC (Toms River, NJ), Ocean Primary Care LLC (Toms River, NJ) and Change Of Heart Cardiology, LLC (Sea Girt, 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 Shannon Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Kelly accept?

Health plans from Oscar Health list Shannon Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Kelly affiliated with any hospitals?

According to CMS data, Shannon Kelly is affiliated with Jersey Shore University Medical Center, Jfk Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.