SHANNON EASTON CRNP
NPI 1669068060
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since December 19, 2020PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Easton Crnp NPPES

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

SHANNON EASTON CRNP (NPI 1669068060) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP022920) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669068060
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHANNON EASTONCredential: CRNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address329 Mill RdHavertown, PA 19083-3725 · (267) 679-5752
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 19, 2020
NPPES CertifiedDecember 19, 2020
NPI 1669068060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP022920
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

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

Shannon Easton Crnp 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 ID1850704537
PECOS Enrollment IDI20210120000432
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.

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia 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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers27 claims740 services$3.32 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers17 claims19 services$6.77 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers44 claims55 services$3.47 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$6.04 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers87 claims2,176 services$4.83 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers44 claims656 services$2.51 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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Easton's NPI number?

The NPI number for Shannon Easton is 1669068060. It was assigned to this individual provider in the NPPES registry on December 19, 2020.

Where is Shannon Easton located?

Shannon Easton practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Shannon Easton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shannon Easton enrolled in Medicare?

Yes. Shannon Easton 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.

Is Shannon Easton affiliated with any hospitals?

According to CMS data, Shannon Easton is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Easton was last updated on December 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.