SHANNON IVES (CRNP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1063919611
Obstetrics & Gynecology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON IVES (CRNP)
726 MAPLE GROVE RD
MOSCOW, PA 184446862
Phone: (570) 237-2312
Type: Mailing
206 E Brown St
East Stroudsburg, PA 183013006
Phone: (570) 476-3367
Type: Location
Pocono Medical Center, 228, Independence Road, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States
EAST STROUDSBURG, PA 183019435
Phone: (570) 426-2830
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181214000145 | I | Nurse Practitioner | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18444)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Medical Oncology | OH | |
| Cardiac Surgery, Thoracic Surgery | NY | |
| - | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | PA | |
| Vascular Surgery | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.