SHANDEL DOUGLAS APN
NPI 1649798455
Nurse Practitioner - Psychiatric/Mental Health in River Edge, NJ
About Shandel Douglas Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDEL DOUGLAS APN (NPI 1649798455) is an individual psychiatric/mental health provider in River Edge, New Jersey, licensed in New Jersey (26NJ00747600) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shandel Douglas 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.
Medicare Billing Reassignments
6Medicare enrollment records show Shandel Douglas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
River Edge, NJ 07661
- Reassigned Medicare billing, New Jersey enrollment
- 16 clinicians in this Medicare group
North Bergen, NJ 07047
- Reassigned Medicare billing, New Jersey enrollment
- 22 clinicians in this Medicare group
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 141 clinicians in this Medicare group
Holmdel, NJ 07733
- Reassigned Medicare billing, New Jersey enrollment
- 53 clinicians in this Medicare group
Neptune, NJ 07753
- Reassigned Medicare billing, New Jersey enrollment
- 64 clinicians in this Medicare group
Toms River, NJ 08753
- Reassigned Medicare billing, New Jersey enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVER EDGE, NJ 07661
RIVER EDGE, NJ 07661
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 Shandel Douglas's NPI number?
The NPI number for Shandel Douglas is 1649798455. It was assigned to this individual provider in the NPPES registry on August 31, 2017.
Where is Shandel Douglas located?
Shandel Douglas practices at 887 Kinderkamack Rd, River Edge, NJ 07661. The listed phone number is (201) 464-0860.
What is Shandel Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shandel Douglas enrolled in Medicare?
Yes. Shandel Douglas 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.
Which organizations bill Medicare for Shandel Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shandel Douglas reassigns Medicare benefits to 6 organizations: Evergreen Medical Group PC (River Edge, NJ), Freeway Psychiatry PC (North Bergen, NJ), Jls Medical PC (Newark, NJ), Visiting Nurse Association Of Central Jersey, Inc. (Holmdel, NJ), Vps Medical Services, PC (Neptune, NJ) and 1 more organization, listed in the Medicare section above. 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 Shandel Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shandel Douglas accept?
Health plans from Oscar Health list Shandel Douglas 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 Shandel Douglas was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Shandel Douglas, APN · NPI 1649798455
Psychiatric/Mental Health physician in River Edge, New Jersey. Individual provider, active in the CMS NPPES registry since August 31, 2017.
## Identity
- **NPI:** 1649798455 (Entity type: Individual)
- **Enumerated:** August 31, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ00747600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 887 KINDERKAMACK RD, River Edge, NJ 07661-2307
- **Phone:** (201) 464-0860
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Evergreen Medical Group PC (NPI 1295516409, River Edge, NJ); Freeway Psychiatry PC (NPI 1831819531, North Bergen, NJ); Jls Medical PC (NPI 1164007043, Newark, NJ); Visiting Nurse Association Of Central Jersey, Inc. (NPI 1144275892, Holmdel, NJ); Vps Medical Services, PC (NPI 1265077739, Neptune, NJ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 31, 2025
- **Other identifiers:** Medicaid 0587613 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1649798455) · Data from the CMS NPPES public registry.