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SHONTAL RAFFINGTON
NPI 1467826065
Nurse Practitioner in Hackensack, NJ

Active since November 19, 2015PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-4424(551) 996-0831 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Jul 5, 2023, Oct 11, 2022 and 2 more (5 updates tracked since 2015).

About Shontal Raffington NPPES

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

SHONTAL RAFFINGTON (NPI 1467826065) is an individual nurse practitioner in Hackensack, New Jersey, licensed in New Jersey (26NJ00602300) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467826065
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHONTAL RAFFINGTON
Location Address20 PROSPECT AVEHackensack, NJ 07601-1997
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(551) 996-4424
Fax(551) 996-0831
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 19, 2015
Last NPPES UpdateJanuary 15, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1467826065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00602300
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
20 PROSPECT AVE, Hackensack, NJ 07601
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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

Shontal Raffington 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 ID1052612835
PECOS Enrollment IDI20151221001649
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.

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.

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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
99%79 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%60 patients
Appropriate Testing for Children with Pharyngitis
Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode
91%35 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%622 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,425 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%476 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%990 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
18%106 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%660 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
10%537 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 72% · 67 patients
63%49 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%990 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%990 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%990 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. CHRISTOPHER M. SHAARI M.D.
Otolaryngology
20 PROSPECT AVE, SUITE 712
HACKENSACK, NJ 07601
Bergen County (201) 342-8060
MS. ELIZABTH ANNE BILOTTI APN-BC
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Bergen County (201) 996-5900
DR. JOSEPH B. GLOWACKI DO
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-3205
JEROME F LEVINE M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
MS. THERESA M GABAY APRN, BC
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-5251
LISA HA
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
THE CENTER FOR ADVANCED NEUROSURGERY, LLC
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Bergen County (201) 881-0700

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 Shontal Raffington's NPI number?

The NPI number for Shontal Raffington is 1467826065. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Shontal Raffington located?

Shontal Raffington practices at 20 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-4424.

What is Shontal Raffington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shontal Raffington enrolled in Medicare?

Yes. Shontal Raffington 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 Shontal Raffington was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.