MISS SUZETT SIMONE SHAW APN
NPI 1184171639
Nurse Practitioner - Primary Care in Hackensack, NJ

Q: What is Suzett Shaw's NPI number?

The NPI number for Suzett Shaw is 1184171639. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Q: What is Suzett Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Suzett Shaw was last updated on September 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 September 01, 2016PECOS EnrolledAccepts Medicare Assignment

2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601(551) 295-8223 Get Directions Write a Review

NPPES record last updated: September 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2025, Nov 1, 2023, Nov 3, 2016 and 2 more (5 updates tracked since 2016).

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About Miss Suzett Simone Shaw Apn NPPES

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

MISS SUZETT SIMONE SHAW APN (NPI 1184171639) is an individual primary care provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00645900) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184171639

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMISS SUZETT SIMONE SHAWCredential: APN

Location Address2 UNIVERSITY PLZ STE 204Hackensack, NJ 07601-6211

Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223

Phone(551) 295-8223

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 1, 2016

Last NPPES UpdateSeptember 14, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2025

✔ NPI 1184171639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJ00645900

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00645900 (NJ)

2 UNIVERSITY PLZ STE 204, Hackensack, NJ 07601

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Secondary Practice Locations 3

Location 1137 High St Fl 2AMount Holly, NJ 08060-1476 · Phone (609) 474-0120

Location 21000 Haddonfield Berlin Rd Ste 205Voorhees, NJ 08043-3520 · Phone (551) 295-8223

Location 32445 S Delsea Dr, Inspira LIFE VinelandVineland, NJ 08360-7000 · Phone (856) 334-1961

Other Identifiers 1

Medicaid0760081NJ

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

Miss Suzett Simone Shaw 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 ID7113338112

PECOS Enrollment IDI20201124000032

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

Medicare enrollment records show Suzett Shaw reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ennoble Hc Nj II PC

Same address

Geriatric Medicine

2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601

Reassigned Medicare billing, New Jersey enrollment
90 clinicians in this Medicare group

NPI 1871475806 (551) 295-8223

Ennoble Hc Nj III PC

Same address

Geriatric Medicine

2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601

Reassigned Medicare billing, New Jersey enrollment
90 clinicians in this Medicare group

NPI 1043192099 (551) 295-8223

Ennoble Hc Nj PC

0.5 mi

Geriatric Medicine

2 UNIVERSITY PLZ
Hackensack, NJ 07601

Reassigned Medicare billing, New Jersey enrollment
115 clinicians in this Medicare group

NPI 1306500764 (973) 435-9463

Clare Medical Of New Jersey LLC

74 mi

Geriatric Medicine

137 HIGH ST FL 2A
Mount Holly, NJ 08060

Reassigned Medicare billing, New Jersey enrollment
56 clinicians in this Medicare group

NPI 1255718276 (609) 474-0120

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 14

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

407 services181 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

227 services127 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

205 services90 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

155 services86 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

92 services60 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

92 services60 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

82 services82 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

51 services51 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

36 services36 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

34 services18 patients

Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494

Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.

31 services14 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers15 claims27 services$5.37 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$43.14 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers12 claims12 services$12.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BREEANA DICKSON

Nurse Practitioner