Shannon Lynn Gingerelli, A.P.N.-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00131500 Issued in NJ

Practice address

11 Saddle Rd
Cedar Knolls, NJ 07927-1901

Phone

(973) 267-2122

Fax

(973) 267-4434

NPI assigned

Jul 2, 2007

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 2

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

Merit-based Incentive Payment System (MIPS)

Final score

82.88 of 100Reported as group

Quality

81.99

Promoting interoperability

95

Improvement activities

20

Cost

69.63

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• North Haledon Medical, PC

  • Specialist
  • Wayne, NJ
  • NPI 1477624088
  Medicare reassignment

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1609073576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SADDLE RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271901",
            "telephone_number": "973-267-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SADDLE RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271901",
            "telephone_number": "973-267-2122",
            "fax_number": "973-267-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERELLI",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "A.P.N.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00131500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV. NURSE PRAC. LICENSE",
            "identifier": "26NJ00131500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "26NR10613300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley George, PHARM. D.
• Donna G German-Klein, LCSW
• James V Gibbions Jr., M.D.
• Shaye Gilmartin, CCC-SLP
• Tessa Gilson, DPT, PT
• Claudia Ginsberg, M.D.
• Michelle Glowinski, APN
• Darshan P Godkar, MD
• Daniel Goldberg
• Jonathan L Goodman, D.O.

• Adult Health Nurse Practitioner in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.