Individual provider Active NPI

Shannon Maria McMonigle, FNP-BC

  • Family Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1679235873
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024367 Issued in PA
Practice address
685 River Ave Unit 3
Lakewood, NJ 08701-5288
Phone
(732) 987-3855
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024367 PA Primary

Addresses

Primary practice location

685 River Ave Unit 3
Lakewood, NJ 08701-5288

Mailing address

2643 Mount Carmel Ave
Glenside, PA 19038-2911
Phone (267) 439-3512

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211209001220 PA Practitioner - Nurse Practitioner 7012307853 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21.36 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
71.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024367PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Group LLC CurrentSince Oct 1, 2021 Accepting new patients
NJ Pacs 2 PA CurrentSince Sep 30, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 30, 2024 Accepting new patients
Inpatient Consultants of Pennsylvania PC CurrentSince Sep 30, 2024 Accepting new patients
Inpatient Consultants of Pennsylvania PC CurrentSince Sep 30, 2024 Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1679235873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 MOUNT CARMEL AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382911",
            "telephone_number": "267-439-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE UNIT 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-987-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMONIGLE",
        "first_name": "SHANNON",
        "middle_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.