Shannon Ives, CRNP
NPI 1063919611 · Obstetrics & Gynecology Nurse Practitioner · East Stroudsburg, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Ives, CRNP is a Obstetrics & Gynecology Nurse Practitioner provider in East Stroudsburg, PA (NPI 1063919611).
Provider details
- NPI number
- 1063919611
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP018102 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 206 E Brown StEast Stroudsburg, PA 18301-3006Phone: (570) 476-3367
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2018-11-12
Frequently asked questions
- What is Shannon Ives's NPI number?
- Shannon Ives's National Provider Identifier (NPI) is 1063919611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Ives's specialty?
- Shannon Ives is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Ives located?
- Shannon Ives's practice location on file with NPPES is 228 Independence Rd, East Stroudsburg, PA 18301-9435.
- What is Shannon Ives's phone number?
- The practice phone number listed in the NPPES registry for Shannon Ives is (570) 426-2830.
- Does Shannon Ives accept Medicare?
- Shannon Ives is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Ives's NPI active?
- Yes — Shannon Ives's NPI (1063919611) is active in the NPPES registry as of the last update on 2018-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.