Individual provider Active NPI

Brian Hugh Shannon, APN

  • Acute Care Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1003214842
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00533400 Issued in NJ
Practice address
1138 E Chestnut Ave Ste 8B
Vineland, NJ 08360-5053
Phone
(856) 213-9733
Fax
(856) 575-5080
NPI assigned
Dec 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00533400 NJ
Acute Care Nurse Practitioner 363LA2100X 26NJ00533400 NJ Primary

Addresses

Primary practice location

1138 E Chestnut Ave Ste 8B
Vineland, NJ 08360-5053

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 247-7210

Other practice location 1

Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053
Phone (856) 596-9057

Other identifiers 1

IdentifierTypeStateIssuer
0454061MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bshannon83271@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000829 NJ Practitioner - Nurse Practitioner 1850619230 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter a. Curreri, D.O., L.L.C. CurrentSince Apr 25, 2016 Accepting new patients
Joseph P. Curreri, D.O., LLC CurrentSince Apr 25, 2016 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Dec 31, 2023 Accepting new patients
Advocare , LLC CurrentSince Feb 1, 2024 Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Advocare, LLC CurrentSince Feb 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1138 E Chestnut Ave
Ste 8B
Vineland, NJ 08360
Phone (856) 213-4035

2950 College Dr
Ste 1A
Vineland, NJ 08360
Phone (856) 507-0600

Interoperability endpoints

  • Direct secure messaging: brian.shannon@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1003214842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-247-7210",
            "fax_number": "856-247-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 E CHESTNUT AVE STE 8B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605053",
            "telephone_number": "856-213-9733",
            "fax_number": "856-575-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Renaissance Square, 141 Route 70, Suite B",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-596-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "BRIAN",
        "middle_name": "HUGH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00533400",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00533400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454061",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bshannon83271@directvirtua.org",
            "affiliation": "N",
            "address_1": "Renaissance Square, 141 Route 70, Suite B",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.