SHIDENIES MORTON – Gerontology Nurse Practitioner, NPI 1245013291

SHIDENIES MORTON is a healthcare provider. based in East stroudsburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ6282300 (NJ). The NPI Number for SHIDENIES MORTON is 1245013291

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SHIDENIES MORTON
NPI
1245013291
Phone
(862) 215-3530
Address
3136 GREENBRIAR DR
Enumeration Date
15 August 2023
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9733768034
Graduation Year
2022 (4 years ago)
PAC ID
0446608186
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20231120000161
Address ID
NJ070411711MI235XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for SHIDENIES MORTON

  • 3136 GREENBRIAR DR

    EAST STROUDSBURG, PA 183017202

    Phone: (862) 215-3530

    Type: Mailing

  • 235 MILLBURN AVE STE 101

    MILLBURN, NJ 070411711

    Phone: (973) 376-8034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Pulmonx Corporation ($54).

Total Amount

$146

General + Research + Ownership

Payments

5

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231120000161INurse PractitionerNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18301)

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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: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What NPI should I save for SHIDENIES MORTON?
Save NPI 1245013291 if you need a stable reference for SHIDENIES MORTON.
Is SHIDENIES MORTON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SHIDENIES MORTON treat or focus on?
Patients typically see SHIDENIES MORTON under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SHIDENIES MORTON?
The snapshot lists East Stroudsburg, Pennsylvania for SHIDENIES MORTON; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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