Shannon Nicole Cullin, NP
Individual provider Active NPI Family Nurse Practitioner · Dover, DE
NPI 1831745447 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1831745447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- LG-0001302 (DE)
- Practice address
- 1113 S State St
Dover, DE 19901-4112 - Phone
- (302) 734-7676
- NPI assigned
- Aug 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiology Physicians, LLC
Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
1113 S State St
Suite 101
Dover, DE 19901-4112
Phone (302) 366-8600
640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408
Hospital & facility affiliations
- Bayhealth Medical Center, Kent Campus
- Bayhealth Hospital, Sussex Campus
- Christiana Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191015000281 | DE | Practitioner - Nurse Practitioner | 6608107172 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0039601 | DE | MD | Critical Care Medicine Registered Nurse |
| LG-0001302 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Delaware Cardiovascular Associates, P.a. | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Cardiology Physicians, LLC | Current |
Accepting new patients | |
| United Medical Clinic, LLC | Past |
Accepting new patients |
Locations
1113 S State St
Dover, DE 19901
Phone (302) 734-7676
1113 S State St
Ste 100
Dover, DE 19901
Phone (302) 734-7676
640 S State St
Dover, DE 19901
Phone (302) 744-4700
1113 S State St
Ste 202
Dover, DE 19901
Phone (302) 261-5600
1113 S State St
Ste 101
Dover, DE 19901
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
1 Centurian Dr
Ste 307
Newark, DE 19713
Phone (302) 543-8100
1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658
1 Centurian Dr
Ste 305
Newark, DE 19713
Phone (302) 633-6335
100 S Main St
Ste 204
Smyrna, DE 19977
Phone (302) 653-1188
201 N Main St
Smyrna, DE 19977
Phone (302) 653-8435
100 S Main St
Ste 104
Smyrna, DE 19977
Phone (302) 653-9355
1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676
Interoperability endpoints
- shannon.cullin.p3@direct.chv.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | L1-0039601 | DE | |
| Nurse Practitioner | 363L00000X | LG-0001302 | DE | |
| Family Nurse Practitioner | 363LF0000X | LG-0001302 | DE | Yes |
Addresses
Primary practice location
1113 S State St
Dover, DE 19901-4112
Mailing address
2519 Nicholby Dr
Wilmington, DE 19808-4212
Phone (302) 373-3753
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PowerChart | ||
| CONNECT URL | EPIC |
Other providers in Dover, DE
- Felicia Cruz
- Matilde Cruz
- Miranda Csaszar
- Julia Michelle Cullen
- Alison Cullin
- Shawn Francis Cullin
- Tamika L Culver
- Cindy L Cunningham
- Cupid Medical PSC
- Curabill Solutions LLC
All providers in Dover, DE · Family Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.