SHANNON MARGARET DORGAN
NPI 1992302798
Nurse Practitioner - Family in Hazlet, NJ

Active since October 05, 2020PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
3253 STATE ROUTE 35, HAZLET, NJ 07730(732) 888-7646 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2024, Nov 6, 2023, Oct 5, 2020 (3 updates tracked since 2020).

About Shannon Margaret Dorgan NPPES

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

SHANNON MARGARET DORGAN (NPI 1992302798) is an individual family provider in Hazlet, New Jersey, licensed in New Jersey (26NJ01055800) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992302798
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MARGARET DORGAN
Location Address3253 STATE ROUTE 35Hazlet, NJ 07730-1544
Mailing AddressPo Box 8519Red Bank, NJ 07701-8519 · (732) 460-9840
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 5, 2020
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1992302798 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 · 26NJ01055800
3253 STATE ROUTE 35, Hazlet, NJ 07730

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

Shannon Margaret Dorgan 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 ID840694964
PECOS Enrollment IDI20210811000676
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 Dorgan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
  • Reassigned Medicare billing, New Jersey enrollment
  • 63 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 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 07730 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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine
3253 STATE ROUTE 35
HAZLET, NJ 07730
Nurse Practitioner (Family)
3253 STATE ROUTE 35
HAZLET, NJ 07730
Clinic/Center (Primary Care)
3253 STATE ROUTE 35, SUITE 1
HAZLET, NJ 07730
Pharmacy (Community/Retail Pharmacy)
3253 STATE ROUTE 35
HAZLET, NJ 07730
Nurse Practitioner (Family)
3253 STATE ROUTE 35
HAZLET, NJ 07730

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 Dorgan's NPI number?

The NPI number for Shannon Dorgan is 1992302798. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Shannon Dorgan located?

Shannon Dorgan practices at 3253 State Route 35, Hazlet, NJ 07730. The listed phone number is (732) 888-7646.

What is Shannon Dorgan's specialty?

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

Is Shannon Dorgan enrolled in Medicare?

Yes. Shannon Dorgan 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 Dorgan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Dorgan reassigns Medicare benefits to 3 organizations: Integrated Medicine Alliance PA (Shrewsbury, NJ), Barnabas Health Medical Group PC (Elizabeth, 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 Dorgan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Dorgan accept?

Health plans from Ambetter Health and Oscar Health list Shannon Dorgan 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 Shannon Dorgan was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.