Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shandel Douglas, APN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649798455

Shandel Douglas, APN is a Nurse Practitioner in River Edge, New Jersey. Qualified in 2016, 10 years ago. Practices with Lifebulb LLC, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

887 Kinderkamack Rd
River Edge, NJ 07661-2307
Phone: (201) 464-0860
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00747600 (NJ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 26NJ00747600 (NJ)

Record details

NPI number1649798455
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lifebulb Llc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $312 18 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Lifebulb LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 94 clinicians in the practice; 12 are shown here.

Other providers in River Edge