Shannon Dereamus, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP024754 Issued in PA

Practice address

575 S 9TH St Ste 7
Lehighton, PA 18235-2517

Phone

(570) 645-1000

NPI assigned

Nov 12, 2021

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Luke'S Hospital 100 clinicians

The Carbon-Schuylkill Community Hospital, Inc. 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• St. Luke'S Hospital

  • Urgent Care Clinic/Center
  • Bethlehem, PA
  • NPI 1740232719

  PA

  Medicare reassignment Care Compare group NPD
• The Carbon-Schuylkill Community Hospital, Inc.

  • Emergency Medicine Physician
  • Coaldale, PA
  • NPI 1194891010

  PA

  Medicare reassignment Care Compare group NPD
• GSL Hospital

  • Urgent Care Clinic/Center
  • Pottsville, PA
  • NPI 1073256608

  PA

  Medicare reassignment NPD
• St. Luke'S Hospital Monroe Campus

  • Occupational Medicine Physician
  • Stroudsburg, PA
  • NPI 1609311257

  PA

  Medicare reassignment NPD
• St. Luke'S Hosptial

  • Urgent Care Clinic/Center
  • Wind Gap, PA
  • NPI 1376965731

  PA

  Medicare reassignment NPD
• St. Luke'S Quakertown Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Quakertown, PA
  • NPI 1225052616

  PA

  Medicare reassignment NPD
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare group
• St. Luke'S Hospital

  • Rehabilitation Hospital Unit
  • Bethlehem, PA
  • NPI 1073543120
  Care Compare group
• St. Luke'S Hospital

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1508874538
  Care Compare group
• St. Luke'S Hospital

  • Psychiatric Hospital Unit
  • Allentown, PA
  • NPI 1750961629
  Care Compare group
• The Carbon-Schuylkill Community Hospital, Inc.

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare group
• The Carbon-Schuylkill Community Hospital, Inc.

  • Skilled Nursing Facility
  • Coaldale, PA
  • NPI 1497837470
  Care Compare group

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1295491306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST STE 7",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "570-645-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREAMUS",
        "first_name": "SHANNON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Demasi, RN,BC-NI
• Dematte Chiropractic Associates
• Dematte Chiropractic LLC
• John J Dematte IV, DC
• John J Dematte III, DC
• Dustin Derstine, PAC
• Timothy Joseph Donaghy, CRNP
• Nicholas Dorazio, DPT
• Dr Joseph McGinley PC
• Dr.L.Narayana Gajula & Associates

• All providers in Lehighton, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.