Miss Suzett Simone Shaw, APN - Medicare Nurse Practitioner in Hackensack, NJ

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Miss Suzett Simone Shaw, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in Hackensack, New Jersey. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Nj Pc and her current practice location is 2 University Plz Ste 204, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 295-8223.

Miss Suzett Simone Shaw is licensed to practice in New Jersey (license number 26NJ00645900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184171639.

Contact Information

Miss Suzett Simone Shaw, APN
2 University Plz Ste 204,
Hackensack, NJ 07601-6211
(551) 295-8223
Not Available

Map and Direction




Provider's Profile

Full NameMiss Suzett Simone Shaw
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location2 University Plz Ste 204, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Suzett Simone Shaw graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1184171639
  • Provider Enumeration Date: 09/01/2016
  • Last Update Date: 09/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113338112
  • Enrollment ID: I20201124000032

Medical Identifiers

Medical identifiers for Miss Suzett Simone Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184171639NPI-NPPES
0760081MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26NJ00645900 (New Jersey)Primary
363LG0600XNurse Practitioner - Gerontology 26NJ00645900 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Regional Home Health Care, LlcCape may court house, NJHome health agency
Bayada At Inspira, Home Health And HospiceMillville, NJHome health agency
Holy Redeemer Home CareRunnemede, NJHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ennoble Hc Nj Pc034563818582

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Suzett Simone Shaw allows following entities to bill medicare on her behalf.
Entity NameClare Medical Of New Jersey, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255718276
PECOS PAC ID: 8325369895
Enrollment ID: O20150609001994
Entity NameAct On Total Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952992455
PECOS PAC ID: 6608284674
Enrollment ID: O20210413001435
Entity NameEnnoble Hc Nj Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306500764
PECOS PAC ID: 0345638185
Enrollment ID: O20211028000825

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Suzett Simone Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Suzett Simone Shaw, APN
2 University Plz Ste 204,
Hackensack, NJ 07601-6211

Ph: (551) 295-8223		Miss Suzett Simone Shaw, APN
2 University Plz Ste 204,
Hackensack, NJ 07601-6211

Ph: (551) 295-8223

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.