SHU-SHANNA PETA-GAYE DIXON NP
NPI 1265055230
Nurse Practitioner - Acute Care in Teaneck, NJ
About Shu-shanna Peta-gaye Dixon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHU-SHANNA PETA-GAYE DIXON NP (NPI 1265055230) is an individual acute care provider in Teaneck, New Jersey, licensed in New Jersey (26NJ01117100) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Shu-shanna Peta-gaye Dixon Np 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.
Medicare Billing Reassignments
12Medicare enrollment records show Shu-shanna Dixon reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 23 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 66 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Hillsborough, NJ 08844
- Reassigned Medicare billing, New Jersey enrollment
- 793 clinicians in this Medicare group
Ronceverte, WV 24970
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Name Medical Center
Acute Care Hospitals · Teaneck, NJClara Maass Medical Center
Acute Care Hospitals · Belleville, NJIntegris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Shu-shanna Dixon's NPI number?
The NPI number for Shu-shanna Dixon is 1265055230. It was assigned to this individual provider in the NPPES registry on May 25, 2020.
Where is Shu-shanna Dixon located?
Shu-shanna Dixon practices at 718 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 833-3000.
What is Shu-shanna Dixon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shu-shanna Dixon enrolled in Medicare?
Yes. Shu-shanna Dixon 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 Shu-shanna Dixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shu-shanna Dixon reassigns Medicare benefits to 12 organizations: Holy Name Pulmonary Associates, PC (Teaneck, NJ), Eoh Acquisition Group, LLC (East Orange, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ) and 7 more organizations, listed in the Medicare section above. 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 Shu-shanna Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shu-shanna Dixon accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Oscar Health and Priority Health list Shu-shanna Dixon 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 Shu-shanna Dixon affiliated with any hospitals?
According to CMS data, Shu-shanna Dixon is affiliated with Holy Name Medical Center, Clara Maass Medical Center and Integris Baptist Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Shu-shanna Dixon was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Shu-Shanna Peta-Gaye Dixon, NP · NPI 1265055230
Acute Care physician in Teaneck, New Jersey. Individual provider, active in the CMS NPPES registry since May 25, 2020.
## Identity
- **NPI:** 1265055230 (Entity type: Individual)
- **Enumerated:** May 25, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ01117100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 718 TEANECK RD, Teaneck, NJ 07666-4245
- **Phone:** (201) 833-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Holy Name Pulmonary Associates, PC (NPI 1144484866, Teaneck, NJ); Eoh Acquisition Group, LLC (NPI 1578922258, East Orange, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Clinical Health Care Associates Of New Jersey, PC (NPI 1962977249, Hillsborough, NJ); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 4, 2026
- **Other identifiers:** Medicaid 1265055230 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1265055230) · Data from the CMS NPPES public registry.