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SHANNON LEE RAKITIS CRNP
NPI 1508751264
Nurse Practitioner in Philadelphia, PA

Active since June 11, 2025PECOS Enrolled
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 662-3487 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Lee Rakitis Crnp NPPES

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

SHANNON LEE RAKITIS CRNP (NPI 1508751264) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032917) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508751264
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON LEE RAKITISCredential: CRNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address329 Keswick DrWoolwich Township, NJ 08085-2541 · (856) 693-4416
Phone(215) 662-3487
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1508751264 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 PA · SP032917
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.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Lee Rakitis Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466943345
PECOS Enrollment IDI20251118004965, I20260312003063
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

2

Medicare enrollment records show Shannon Rakitis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Philadelphia Family Medicne Assoc P.C.
2.6 mi
Family Medicine
1028 W OREGON AVE
Philadelphia, PA 19148
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Philadelphia Family Medicne Assoc PC
  • 3 clinicians in this Medicare group
NPI 1912958638 (215) 389-7766
Kennedy Medical Group Practice, P.C.
13 mi
Family Medicine
205 E LAUREL RD, 2ND FLOOR
Stratford, NJ 08084
  • Reassigned Medicare billing, New Jersey enrollment
  • 438 clinicians in this Medicare group
NPI 1437410990 (856) 816-0255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Rakitis's NPI number?

The NPI number for Shannon Rakitis is 1508751264. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Shannon Rakitis located?

Shannon Rakitis practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.

What is Shannon Rakitis's specialty?

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

Is Shannon Rakitis enrolled in Medicare?

Yes. Shannon Rakitis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Rakitis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Rakitis reassigns Medicare benefits to 2 organizations: Philadelphia Family Medicne Assoc P.C. (Philadelphia, PA) and Kennedy Medical Group Practice, P.C. (Stratford, 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 Shannon Rakitis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Rakitis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shannon Rakitis 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 Rakitis affiliated with any hospitals?

According to CMS data, Shannon Rakitis is affiliated with Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Rakitis was last updated on June 11, 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.