SHANNON LYNN GINGERELLI A.P.N.-C
NPI 1609073576
Nurse Practitioner - Adult Health in Cedar Knolls, NJ

Q: What is Shannon Gingerelli's NPI number?

The NPI number for Shannon Gingerelli is 1609073576. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Shannon Gingerelli's specialty?

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

Active since July 02, 2007PECOS Enrolled

75.58/100

CMS Quality Rating

11 SADDLE RD, CEDAR KNOLLS, NJ 07927(973) 267-2122(973) 267-4434 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Shannon Lynn Gingerelli A.p.n.-c NPPES

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

SHANNON LYNN GINGERELLI A.P.N.-C (NPI 1609073576) is an individual adult health provider in Cedar Knolls, New Jersey, licensed in New Jersey (26NJ00131500) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609073576

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANNON LYNN GINGERELLICredential: A.P.N.-C

Location Address11 SADDLE RDCedar Knolls, NJ 07927-1901

Mailing Address11 Saddle RdCedar Knolls, NJ 07927-1901 · (973) 267-2122

Phone(973) 267-2122

Fax(973) 267-4434

Sole ProprietorNo

Enumeration DateJuly 2, 2007

Last NPPES UpdateNovember 10, 2008

✔ NPI 1609073576 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

License✔ Licensed in NJ · 26NJ00131500

11 SADDLE RD, Cedar Knolls, NJ 07927

Open in Google Maps ↗

Other Identifiers 2

Other26NR10613300NJ · Registered Nurse License

Other26NJ00131500NJ · Adv. Nurse Prac. License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Lynn Gingerelli A.p.n.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shannon Gingerelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Haledon Medical, PC

16 mi

Specialist

510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
39 clinicians in this Medicare group

NPI 1477624088 (973) 942-6005

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 3

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

69 services38 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

22 services21 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07927 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.

75.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.16

Promoting Interoperability

Improvement Activities

Cost

42.17

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims5,062 services$0.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MEGHAN KATHLEEN PILLAI MD

Family Medicine