SHANNON KECK – Registered Nurse, NPI 1881949683

SHANNON KECK is a healthcare provider. based in Mount holly, New Jersey. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 25627 (SC). The NPI Number for SHANNON KECK is 1881949683

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON KECK
NPI
1881949683
Phone
(609) 267-0700
Address
175 MADISON AVE
Enumeration Date
17 July 2012
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8002280249
Graduation Year
2012 (14 years ago)
PAC ID
2365697174
Group Practice PAC ID
8729063797
Professional Enrollment ID
I20220426001960
Address ID
SC299025441BE955XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

1,126 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

Provider Addresses for SHANNON KECK

  • 175 MADISON AVE

    MOUNT HOLLY, NJ 080602038

    Phone: (609) 267-0700

    Type: Location

  • 15 HARROGATE CT

    SEWELL, NJ 080802734

    Phone: (609) 617-9047

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Mindray DS USA, Inc. ($49).

Total Amount

$49

General + Research + Ownership

Payments

1

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mindray DS USA, Inc.$49
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130228000315ICertified Registered Nurse Anesthetist (Crna)NJTBD
I20220426001960ICertified Registered Nurse Anesthetist (Crna)SCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope4444$0
00813Anesthesia for procedure on small and large bowel using an endoscope4040$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2625$0
01402Anesthesia for procedure for total knee joint replacement1616$0
01214Anesthesia for total hip replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 08060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729063797View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)OH
-SC
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)MA
-SC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How is SHANNON KECK identified in CMS data?
CMS-hosted NPPES data lists SHANNON KECK with NPI 1881949683.
Is SHANNON KECK still practicing?
SHANNON KECK is currently listed as active in the public NPI registry.
What is SHANNON KECK's primary classification?
Registered Nurse is the headline specialty for SHANNON KECK here. Clinical services aligned with this taxonomy classification.
What area does SHANNON KECK serve?
SHANNON KECK's listing highlights Mount Holly, New Jersey; more addresses can appear in NPPES.
Why does SHANNON KECK have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.