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SHANNON KHULUSI NP
NPI 1932240603
Nurse Practitioner - Family in Eatontown, NJ

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
142 STATE ROUTE 35 S, EATONTOWN, NJ 07724(732) 389-5004(732) 389-1850 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Khulusi Np NPPES

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

SHANNON KHULUSI NP (NPI 1932240603) is an individual family provider in Eatontown, New Jersey, licensed in New Jersey (26NJ00061500) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932240603
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON KHULUSICredential: NP
Location Address142 STATE ROUTE 35 SEatontown, NJ 07724-1876
Mailing Address142 State Route 35 SEatontown, NJ 07724-1876 · (732) 389-5004 · Fax (732) 389-1850
Phone(732) 389-5004
Fax(732) 389-1850
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 8, 2007
Last NPPES UpdateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1932240603 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 · 26NJ00061500
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00061500 (NJ)
142 STATE ROUTE 35 S, Eatontown, NJ 07724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Shannon Khulusi Np 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 ID6507803095
PECOS Enrollment IDI20050415000539
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

3

Medicare enrollment records show Shannon Khulusi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allied Digestive Health, LLC
2.0 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805
Hackensack Meridian Health Medical Group - Specialty Care PC
3.5 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Barnabas Health Medical Group, PC
35 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

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 5

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.

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.
309 services253 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
44 services41 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

DR. KENNETH BELITSIS M.D.
Internal Medicine (Gastroenterology)
142 STATE ROUTE 35 S
EATONTOWN, NJ 07724
Monmouth County (732) 389-5004
DR. NADEEM BAIG M.D.
Internal Medicine (Gastroenterology)
142 STATE ROUTE 35 S
EATONTOWN, NJ 07724
Monmouth County (732) 389-5004

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 Khulusi's NPI number?

The NPI number for Shannon Khulusi is 1932240603. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Shannon Khulusi located?

Shannon Khulusi practices at 142 State Route 35 S, Eatontown, NJ 07724. The listed phone number is (732) 389-5004.

What is Shannon Khulusi's specialty?

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

Is Shannon Khulusi enrolled in Medicare?

Yes. Shannon Khulusi 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 Khulusi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Khulusi reassigns Medicare benefits to 3 organizations: Allied Digestive Health, LLC (West Long Beach, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Barnabas Health Medical Group, PC (West Orange, 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 Khulusi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Khulusi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shannon Khulusi 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 Khulusi affiliated with any hospitals?

According to CMS data, Shannon Khulusi is affiliated with Ocean Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Khulusi was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.