SHANNON DALE TOBIAZ
NPI 1629910831
Nurse Practitioner in Lansdale, PA

Q: What is Shannon Tobiaz's NPI number?

The NPI number for Shannon Tobiaz is 1629910831. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Shannon Tobiaz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Tobiaz was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2026PECOS Enrolled

826 N BROAD ST, LANSDALE, PA 19446(215) 855-1054 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Apr 7, 2026 (2 updates tracked since 2026).

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About Shannon Dale Tobiaz NPPES

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

SHANNON DALE TOBIAZ (NPI 1629910831) is an individual nurse practitioner in Lansdale, Pennsylvania, licensed in Pennsylvania (SP035734) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1629910831

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON DALE TOBIAZ

Location Address826 N BROAD STLansdale, PA 19446-2321

Mailing Address817 Rose LnHatfield, PA 19440-3149 · (484) 358-6617 · Fax (484) 358-6617

Phone(215) 855-1054

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 7, 2026

Last NPPES UpdateApril 14, 20262 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1629910831 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 · SP035734

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.

826 N BROAD ST, Lansdale, PA 19446

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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 (PECOS)

Shannon Dale Tobiaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395214464

PECOS Enrollment IDI20260518003732

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 19446 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 14

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

PHELPS LAMBERT MD

Family Medicine