SHANNON HOPKINS
NPI 1457703431
Nurse Practitioner - Family in Toms River, NJ

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
99 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2016, Jul 1, 2016 (2 updates tracked since 2016).

About Shannon Hopkins NPPES

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

SHANNON HOPKINS (NPI 1457703431) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ00656700) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457703431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON HOPKINS
Location Address99 ROUTE 37 WToms River, NJ 08755-6423
Mailing Address1206 Lakewood RdManasquan, NJ 08736-2014 · (732) 551-5280
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 1, 2016
Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration
✔ NPI 1457703431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00656700
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 26NR16203700 (NJ)
99 ROUTE 37 W, Toms River, NJ 08755

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

Shannon Hopkins 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 ID6002199031
PECOS Enrollment IDI20170216001613
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

6

Medicare enrollment records show Shannon Hopkins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
Emergency Medicine
46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group
Urgent Care
1376 HIGHWAY 36
Hazlet, NJ 07730
  • Reassigned Medicare billing, New Jersey enrollment
  • 142 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
39 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

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

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 20

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

General Acute Care Hospital
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Registered Nurse (Registered Nurse First Assistant)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Pharmacist
99 ROUTE 37 W, CMC PHARMACY DEPT.
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755

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 Hopkins's NPI number?

The NPI number for Shannon Hopkins is 1457703431. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Shannon Hopkins located?

Shannon Hopkins practices at 99 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Shannon Hopkins's specialty?

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

Is Shannon Hopkins enrolled in Medicare?

Yes. Shannon Hopkins 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 Shannon Hopkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Hopkins reassigns Medicare benefits to 6 organizations: Central Jersey Urgent Care (Ocean, NJ), Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ), Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and 1 more organization, 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 Shannon Hopkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Hopkins accept?

Health plans from Oscar Health list Shannon Hopkins 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 Shannon Hopkins affiliated with any hospitals?

According to CMS data, Shannon Hopkins is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Shannon Hopkins was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.