Skip to content

Shannon Novak

NPI 1205763778ActiveIndividual· Nurse Practitioner, Family· Red Bank, NJ

Nurse Practitioner, Family in Red Bank, New Jersey, licensed in NJ and FL, with an NPI issued in May 2026.

Overview

NPI1205763778
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 7, 2026
Last updated in NPPESMay 11, 2026
Certified by providerMay 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X26NJ155572200NJ
Nurse Practitioner, Family363LF0000X11047425FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Family providers in Red Bank

All Nurse Practitioner, Family providers in New Jersey →