Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Keck

Individual provider Certified Registered Nurse Anesthetist · NPI 1881949683

Shannon Keck is a Certified Registered Nurse Anesthetist (CRNA) in Mount Holly, New Jersey. Qualified in 2012, 14 years ago. Practices with Cep America - Anesthesia PC, a 850-clinician group and accepts Medicare assignment. Licensed in New Jersey and South Carolina.

Years since qualifying
14
Licensed in
NJ, SC
In the registry since
2012
Specialties on file
3

Practice location Address checks out

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone: (609) 267-0700
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 25627 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 26NR15104200 (NJ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 26NJ00417900 (NJ)

Record details

NPI number1881949683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address15 Harrogate Ct, Sewell, NJ 08080-2734

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cep America - Anesthesia Pc — 850 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Holly