Shannon Tiedeken, MD
NPI 1225395999 · Pediatrics Physician · Glen Mills, PA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Tiedeken, MD is a Pediatrics Physician provider in Glen Mills, PA (NPI 1225395999).
Provider details
- NPI number
- 1225395999
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD454113 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2017-03-17
Frequently asked questions
- What is Shannon Tiedeken's NPI number?
- Shannon Tiedeken's National Provider Identifier (NPI) is 1225395999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Tiedeken's specialty?
- Shannon Tiedeken is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Tiedeken located?
- Shannon Tiedeken's practice location on file with NPPES is 101 Applied Bank Blvd Ste 11, Glen Mills, PA 19342-3501.
- What is Shannon Tiedeken's phone number?
- The practice phone number listed in the NPPES registry for Shannon Tiedeken is (484) 800-8630.
- Does Shannon Tiedeken accept Medicare?
- Shannon Tiedeken is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Tiedeken's NPI active?
- Yes — Shannon Tiedeken's NPI (1225395999) is active in the NPPES registry as of the last update on 2017-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.