MRS. HENNA S. SHAH APN
NPI 1629517925
Nurse Practitioner - Family in West Long Branch, NJ

Active since February 20, 2017PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
107 MONMOUTH RD STE 102, WEST LONG BRANCH, NJ 07764(732) 641-3350 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2019, Apr 18, 2017, Feb 20, 2017 (3 updates tracked since 2017).

About Mrs. Henna S. Shah Apn NPPES

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

MRS. HENNA S. SHAH APN (NPI 1629517925) is an individual family provider in West Long Branch, New Jersey, licensed in New Jersey (26NJ00724700) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629517925
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HENNA S. SHAHCredential: APN
Location Address107 MONMOUTH RD STE 102West Long Branch, NJ 07764-1021
Mailing Address1 Bridge Ave Apt 201Red Bank, NJ 07701-1537 · (248) 925-0923
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 20, 2017
Last NPPES UpdateJanuary 15, 20193 updates tracked since enumeration
NPI 1629517925 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 · 26NJ00724700
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR18059800 (NJ)
107 MONMOUTH RD STE 102, West Long Branch, NJ 07764

Other Names 1

Former Name (1)Mrs. Dimple N. Patel Apn

Accepted Insurance

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

Mrs. Henna S. Shah Apn 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 ID8325316672
PECOS Enrollment IDI20250513001252
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,647 services254 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
777 services572 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
434 services315 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
183 services162 patients
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.
101 services80 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
94 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07764 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.

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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability75
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%1,037 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
62%1,257 patients3/55-star benchmark: 100%
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 2

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

Surgery (Plastic and Reconstructive Surgery)
107 MONMOUTH RD STE 102
WEST LONG BRANCH, NJ 07764
Plastic Surgery
107 MONMOUTH RD STE 102
WEST LONG BRANCH, NJ 07764

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 Henna Shah's NPI number?

The NPI number for Henna Shah is 1629517925. It was assigned to this individual provider in the NPPES registry on February 20, 2017. The provider is also known as Mrs. Dimple N. Patel Apn.

Where is Henna Shah located?

Henna Shah practices at 107 Monmouth Rd Ste 102, West Long Branch, NJ 07764. The listed phone number is (732) 641-3350.

What is Henna Shah's specialty?

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

Is Henna Shah enrolled in Medicare?

Yes. Henna 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.

What insurance does Henna Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Care Network of Michigan, McLaren Health Plan Community and Priority Health list Henna Shah 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.

When was this NPI record last updated?

The NPPES record for Henna Shah was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.