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Active NPI 1184171639 Individual Practitioner Female Practitioner

Suzett Simone Shaw , APN

Nurse Practitioner - Primary Care • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Suzett Shaw, APN is a certified Nurse Practitioner - Primary Care practicing in Hackensack, NJ. With approximately 10 years of clinical experience since completing medical education in 2016, Suzett Shaw delivers high-quality medical care to the local community at 2 UNIVERSITY PLZ STE 204.

Suzett Shaw is affiliated with Ennoble Hc Nj Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, chronic care management services, first, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 University Plz Ste 204

Hackensack, NJ 076016211

Telephone 5512958223
Associated Practice Facility / Clinic
🏢 Ennoble Hc Nj Iii Pc Facility NPI 1043192099

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Hackensack, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +4.2 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Hackensack, NJ (457 Statewide)

Telehealth Adoption Rate
23.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (10 Years) 10 Yrs
Hackensack Specialty Average (5.8 Years) 5.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
407 181 $473.41 $163.05
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
227 127 $213.24 $56.04
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
205 90 $163.94 $43.04
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
155 86 $243.21 $112.02
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
92 60 $247.44 $64.96
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
92 60 $459.42 $120.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
82 82 $414.26 $116.29
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
51 51 $569.31 $178.19
90653 Vaccine for influenza for injection into muscle
36 36 $250.47 $81.82
G0008 Administration of influenza virus vaccine
36 36 $113.55 $34.22
99493 Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
34 18 $477.69 $125.54
99494 Psychiatric collaborative care management per calendar month, each additional 30 minutes
31 14 $202.44 $53.29
99344 New patient home visit, typically 1 hour
21 21 $354.85 $123.88
99497 Advance care planning, first 30 minutes
14 13 $242.16 $72.80

Medical Specialties & State Licenses

CMS Verified: 2025-09-14
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License NJ 26NJ00645900

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License NJ 26NJ00645900

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0760081 (NJ)

Hospital & Practice Group Affiliations

Ennoble Hc Nj Pc

2 University Plz, Hackensack, NJ 076016211

Phone: 9732411356

Secondary Practice Locations

137 High St Fl 2a

Mount Holly, NJ 080601476

Phone: 6094740120

1000 Haddonfield Berlin Rd Ste 205

Voorhees, NJ 080433520

Phone: 5512958223

2445 S Delsea Dr, Inspira Life Vineland

Vineland, NJ 083607000

Phone: 8563341961

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Brenna Melick

Nurse Practitioner - Acute Care

NPI 1053250167
Amandeep Singh , PA

Physician Assistant

NPI 1053821215

Physician Assistant

Cody Eccard , PA-C

Physician Assistant

NPI 1053829796

Physician Assistant (Certified)

Dr. Gil Roter , MD

Internal Medicine

NPI 1073621231

Doctor of Medicine (M.D.)

Ivan Racadag , AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1083062392

AGPCNPBC

Stacey Laurito , PA-C

Physician Assistant

NPI 1114980729

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 14, 2025

Registered at 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 076016211 (Tel: 5512958223)

📍
Updated Business Mailing Address September 14, 2025

Registered at 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 076016211 (Tel: 5512958223)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2025

Nurse Practitioner (License #26NJ00645900 in NJ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Nurse Practitioner (License #26NJ00645900 in NJ)

NPI Profile Active November 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2016

Registered at 2445 S DELSEA DR, INSPIRA LIFE VINELAND, VINELAND, NJ 083607000 (Tel: 8563341961)

📍
Updated Business Mailing Address November 03, 2016

Registered at 2445 SOUTH DELSEA DRIVE, INSPIRA LIFE VINELAND, VINELAND, NJ 08360 (Tel: 8563341961)

👤
Provider Name / Credentials Updated November 03, 2016

Recorded as SUZETT SHAW, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2016

Nurse Practitioner (License #26NJ00645900 in NJ)

🟢
Initial NPI Registration & Enumeration September 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184171639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2016
Last Update: September 14, 2025
Sole Proprietor: No

Mailing Address

2 University Plz Ste 204

Hackensack, NJ 076016211

Phone: 5512958223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.