SHANNON SHAH NP
NPI 1376067496
Nurse Practitioner - Adult Health in Englewood, NJ

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
350 ENGLE ST, ENGLEWOOD, NJ 07631(201) 894-3636 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Jun 17, 2019, Jul 31, 2017 (3 updates tracked since 2017).

About Shannon Shah Np NPPES

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

SHANNON SHAH NP (NPI 1376067496) is an individual adult health provider in Englewood, New Jersey, licensed in New Jersey (26NJ00913700) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376067496
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANNON SHAHCredential: NP
Location Address350 ENGLE STEnglewood, NJ 07631-1808
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 31, 2017
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1376067496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NJ · 26NJ00913700 Licensed in NY · F308256
350 ENGLE ST, Englewood, NJ 07631

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Shah 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.

PECOS PAC ID3971875451
PECOS Enrollment IDI20190806000034
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.

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.

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.
282 services168 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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.

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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.99
Improvement Activities40

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.

Internal Medicine
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Pathology (Anatomic Pathology & Clinical Pathology)
350 ENGLE ST, DEPT. OF PATHOLOGY
ENGLEWOOD, NJ 07631
Specialist
350 ENGLE ST, SUITE 5N
ENGLEWOOD, NJ 07631
Anesthesiology
350 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology (Gynecology)
350 ENGLE ST, 5 WEST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Adult Health)
350 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Anesthetist, Certified Registered
350 ENGLE ST
ENGLEWOOD, NJ 07631
Student in an Organized Health Care Education/Training Program
350 ENGLE ST
ENGLEWOOD, NJ 07631

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 Shah's NPI number?

The NPI number for Shannon Shah is 1376067496. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Shannon Shah located?

Shannon Shah practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 894-3636.

What is Shannon Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Shah enrolled in Medicare?

Yes. Shannon Shah 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.

When was this NPI record last updated?

The NPPES record for Shannon Shah was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.