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MRS. SHANNON MACRINA APN-C
NPI 1871258343
Nurse Practitioner - Family in Manahawkin, NJ

Active since November 01, 2021PECOS EnrolledAccepts Medicare Assignment
86.84/100
CMS Quality Rating
712 E BAY AVE, MANAHAWKIN, NJ 08050(609) 978-0242 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Nov 1, 2021 (2 updates tracked since 2021).

About Mrs. Shannon Macrina Apn-c NPPES

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

MRS. SHANNON MACRINA APN-C (NPI 1871258343) is an individual family provider in Manahawkin, New Jersey, licensed in New Jersey (26NJ01223400) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871258343
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON MACRINACredential: APN-C
Location Address712 E BAY AVEManahawkin, NJ 08050-3447
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone(609) 978-0242
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 1, 2021
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1871258343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01223400
712 E BAY AVE, Manahawkin, NJ 08050
Open in Google Maps ↗

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 and accepts Medicare assignment

Mrs. Shannon Macrina Apn-c 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 ID7214321181
PECOS Enrollment IDI20220218002475
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 Reassignments

5

Medicare enrollment records show Shannon Macrina reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Owen Carolan MD LLC
27 mi
Family Medicine
1640 ROUTE 88, SUITE 203
Brick, NJ 08724
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1437341526 (732) 458-7777
Total Patient Care LLC
28 mi
Family Medicine
459 JACK MARTIN BLVD, SUITE 1
Brick, NJ 08724
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1477544146 (732) 785-1000
Summit Medical Group PA
69 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300
Harmony Medical Services Of New Jersey LLC
78 mi
Family Medicine
28 VALLEY RD # 148
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
NPI 1649873183 (973) 707-3911
Harmonycares Complete Health Services Of New Jersey, LLC
78 mi
Family
28 VALLEY RD # 148
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1154152411 (855) 396-9643

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 9

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 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.
780 services176 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.
131 services118 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.
101 services96 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
67 services67 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
58 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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.

86.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost56.15

Other Providers at the Same Location NPPES 10

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

SUMMIT MEDICAL GROUP PA
Clinic/Center (Urgent Care)
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0242
VINCENZA PIZZIMENTI LSW
Social Worker
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 300-3839
MRS. RENE WHITE FNP
Nurse Practitioner
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0242
JESSICA GAHM LPC
Counselor (Professional)
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (732) 349-5550
ROTHMAN INSTITUTE OF NEW JERSEY, P.A.
Prosthetic/Orthotic Supplier
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-7854
RAMAZAN SELA
Physician Assistant (Medical)
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0242
TIMMY CHEUNG D.O.
Emergency Medicine
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0242
DR. DENISE BEARD MD
Internal Medicine
712 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0242

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 Macrina's NPI number?

The NPI number for Shannon Macrina is 1871258343. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Shannon Macrina located?

Shannon Macrina practices at 712 E Bay Ave, Manahawkin, NJ 08050. The listed phone number is (609) 978-0242.

What is Shannon Macrina's specialty?

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

Is Shannon Macrina enrolled in Medicare?

Yes. Shannon Macrina 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 Shannon Macrina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Macrina reassigns Medicare benefits to 5 organizations: Owen Carolan MD LLC (Brick, NJ), Total Patient Care LLC (Brick, NJ), Summit Medical Group PA (Berkeley Heights, NJ), Harmony Medical Services Of New Jersey LLC (Montclair, NJ) and Harmonycares Complete Health Services Of New Jersey, LLC (Montclair, NJ). 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 Shannon Macrina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Macrina accept?

Health plans from Oscar Health list Shannon Macrina 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.

Is Shannon Macrina affiliated with any hospitals?

According to CMS data, Shannon Macrina is affiliated with Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Macrina was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.