MR. SHAWN ALAN DENNING JR. APRN
NPI 1205177789
Nurse Practitioner - Family in Toms River, NJ

Q: What is Shawn Denning's NPI number?

The NPI number for Shawn Denning is 1205177789. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Q: What is Shawn Denning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Denning was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 08, 2013PECOS EnrolledAccepts Medicare Assignment

780 RTE 37 W STE 330, TOMS RIVER, NJ 08755(732) 691-4898(732) 608-8950 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, Feb 18, 2025, Sep 25, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Mr. Shawn Alan Denning Jr. Aprn NPPES

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

MR. SHAWN ALAN DENNING JR. APRN (NPI 1205177789) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ00445500) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Shrewsbury.

NPPES Registry Identity

NPI1205177789

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. SHAWN ALAN DENNING JR.Credential: APRN

Location Address780 RTE 37 W STE 330Toms River, NJ 08755-5064

Mailing Address90 Matawan Rd Ste 302Matawan, NJ 07747-2653 · (732) 441-7177 · Fax (732) 441-7165

Phone(732) 691-4898

Fax(732) 608-8950

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 8, 2013

Last NPPES UpdateJune 20, 20255 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1205177789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00445500

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR14810600 (NJ)

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 26NJ00445500 (NJ)

780 RTE 37 W STE 330, Toms River, NJ 08755

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Secondary Practice Location 1

Location 11131 Broad St Ste 104Shrewsbury, NJ 07702-4334 · Phone (732) 691-4898 · Fax (732) 608-8950

Other Identifiers 1

Medicaid0375896NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Mr. Shawn Alan Denning Jr. Aprn 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 ID3870723844

PECOS Enrollment IDI20140313001349

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 Shawn Denning reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Performance Orthopaedics & Sports Medicine, LLC

Same address

Sports Medicine

780 ROUTE 37 W STE 330
Toms River, NJ 08755

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: David Dickerson
2 clinicians in this Medicare group

NPI 1326282088 (732) 691-4898

Bayfront Emergency Physicians PA

49 mi

Emergency Medicine

1 E NEW YORK AVE, SHORE MEMEORIAL HOSPITAL
Somers Point, NJ 08244

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

NPI 1215998273 (609) 653-3159

Premier Brain And Spine, LLC

51 mi

Neurological Surgery

2500 MORRIS AVE STE 220
Union, NJ 07083

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

NPI 1922771377 (738) 906-9600

Community Health Care, Inc.

65 mi

Federally Qualified Health Center (FQHC)

30 NORTH PEARL STREET
Bridgeton, NJ 08302

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

NPI 1700816816 (856) 451-4700

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 16

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.

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

7,140 services16 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

960 services12 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

144 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

136 services106 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services71 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

87 services28 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

60 services43 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 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.

35 services35 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

30 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services17 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.

22 services18 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

21 services20 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

17 services15 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean 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.

Other Providers at the Same Location NPPES 2

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

CONCIERGE WELLNESS AND BONE HEALTH

Clinic/Center (Multi-Specialty)

780 RTE 37 W STE 330
TOMS RIVER, NJ 08755

Ocean County (609) 713-1044

KELSEY MARIE DENNING WHNP

Nurse Practitioner (Women's Health)

780 RTE 37 W STE 330
TOMS RIVER, NJ 08755

Ocean County (732) 691-4898

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 Shawn Denning's NPI number?

The NPI number for Shawn Denning is 1205177789. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Where is Shawn Denning located?

Shawn Denning practices at 780 Rte 37 W Ste 330, Toms River, NJ 08755. The listed phone number is (732) 691-4898.

What is Shawn Denning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Denning enrolled in Medicare?

Yes. Shawn Denning 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 Shawn Denning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Denning reassigns Medicare benefits to 4 organizations: Performance Orthopaedics & Sports Medicine, LLC (Toms River, NJ), Bayfront Emergency Physicians PA (Somers Point, NJ), Premier Brain And Spine, LLC (Union, NJ) and Community Health Care, Inc. (Bridgeton, 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 Shawn Denning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Denning accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shawn Denning 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 Shawn Denning affiliated with any hospitals?

According to CMS data, Shawn Denning is affiliated with Community Medical Center, Monmouth Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Denning was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.