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TRACY SHANNON
NPI 1992391320
Nurse Practitioner - Family in Jersey City, NJ

Active since December 20, 2020PECOS Enrolled
75 MONTGOMERY ST FL 603, JERSEY CITY, NJ 07302(201) 433-1955 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2021, Feb 10, 2021, Dec 20, 2020 (3 updates tracked since 2020).

About Tracy Shannon NPPES

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

TRACY SHANNON (NPI 1992391320) is an individual family provider in Jersey City, New Jersey, licensed in New York (345858) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992391320
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY SHANNON
Location Address75 MONTGOMERY ST FL 603Jersey City, NJ 07302-3726
Mailing Address75 Montgomery St Fl 603Jersey City, NJ 07302-3726 · (201) 433-1955
Phone(201) 433-1955
Sole ProprietorNo
Enumeration DateDecember 20, 2020
Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1992391320 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 NY · 345858
75 MONTGOMERY ST FL 603, Jersey City, NJ 07302
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Shannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tracy Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
2.6 mi
Surgery
301 E 17TH ST, 10TH FL
New York, NY 10003
  • Reassigned Medicare billing, New York enrollment
  • 1,074 clinicians in this Medicare group
NPI 1942450804 (212) 598-6500

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 07302 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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. ADRIAN REYES DC
Chiropractor
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302
Hudson County (201) 885-6952
DOWNTOWN PHYSICAL THERAPY, LLC
Physical Therapist (Orthopedic)
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302
Hudson County (201) 433-5483

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 Tracy Shannon's NPI number?

The NPI number for Tracy Shannon is 1992391320. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Where is Tracy Shannon located?

Tracy Shannon practices at 75 Montgomery St Fl 603, Jersey City, NJ 07302. The listed phone number is (201) 433-1955.

What is Tracy Shannon's specialty?

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

Is Tracy Shannon enrolled in Medicare?

Yes. Tracy Shannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Shannon reassigns Medicare benefits to New York University (New York, NY). The 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 Tracy Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Shannon was last updated on July 2, 2021. 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.