1. Home
  2. Directory
  3. New Jersey
  4. Camden
  5. Nurse Practitioner
  6. NPI Profile

SHANNON L SANDEN
NPI 1104547504
Nurse Practitioner in Camden, NJ

Active since September 06, 2022PECOS Enrolled
81.71/100
CMS Quality Rating
3 COOPER PLZ RM 318, CAMDEN, NJ 08103(856) 342-2683(856) 968-8255 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Sep 6, 2022 (2 updates tracked since 2022).

About Shannon L Sanden NPPES

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

SHANNON L SANDEN (NPI 1104547504) is an individual nurse practitioner in Camden, New Jersey, licensed in New Jersey (26NJ01365000) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1104547504
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON L SANDEN
Location Address3 COOPER PLZ RM 318Camden, NJ 08103-1438
Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924
Phone(856) 342-2683
Fax(856) 968-8255
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1104547504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ01365000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR17307100 (NJ)
3 COOPER PLZ RM 318, Camden, NJ 08103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 342-2141 · Fax (856) 968-8388

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon L Sanden 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 08103 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.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.07
Promoting Interoperability100
Improvement Activities40
Cost55.39

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILLIP A KOREN MD
Internal Medicine (Cardiovascular Disease)
3 COOPER PLZ RM 318
CAMDEN, NJ 08103
Camden County (856) 342-3491

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 Sanden's NPI number?

The NPI number for Shannon Sanden is 1104547504. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Shannon Sanden located?

Shannon Sanden practices at 3 Cooper Plz Rm 318, Camden, NJ 08103. The listed phone number is (856) 342-2683.

What is Shannon Sanden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Sanden enrolled in Medicare?

Yes. Shannon Sanden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Sanden was last updated on December 21, 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.