Shannon Lynn Renitsky, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011347 Issued in PA

Practice address

2 Capital Way
Suite 356
Pennington, NJ 08534-2521

Phone

(609) 537-6000

Fax

(609) 537-6002

NPI assigned

Jan 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Lynn Brown Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
• Direct secure messaging: shannon.renitsky.1@12833.direct.athenahealth.com

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.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887
  Medicare reassignment Care Compare group NPD
• Via Affiliates

  • Vascular Surgery Physician
  • Doylestown, PA
  • NPI 1003446261
  Medicare reassignment NPD
• Via Affiliates

  • Psychologist
  • Warrington, PA
  • NPI 1588489272
  NPD
• Via Affiliates

  • Urgent Care Clinic/Center
  • Doylestown, PA
  • NPI 1700314853
  NPD

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

• Capital Health System Inc

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1215359708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 356",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-6000",
            "fax_number": "609-537-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 356",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-6000",
            "fax_number": "609-537-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way",
            "address_2": "Suite 356",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-537-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENITSKY",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409715",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.renitsky.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 456",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BROWN",
            "middle_name": "LYNN",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Patrick Rassam, PT, MSPT, MS
• Furva Raza, FNP-C
• Loveleen Reddy, M.D.
• Kristy D. Reed, A.N.P.
• Regenespine, LLC
• Jennifer Rey, P.A.-C
• Scarlin A Rhoades, NP
• Michael Alex Rodriguez
• Noreen Barbara Rodriguez, APN,C
• Jason N Rogart, MD

• Family Nurse Practitioner in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.