CAROLINE SHANK
NPI 1013476209
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY
About Caroline Shank NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE SHANK (NPI 1013476209) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caroline Shank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Caroline Shank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Caroline Shank's NPI number?
The NPI number for Caroline Shank is 1013476209. It was assigned to this individual provider in the NPPES registry on March 18, 2019.
Where is Caroline Shank located?
Caroline Shank practices at 26901 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 270-3206.
What is Caroline Shank's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Caroline Shank enrolled in Medicare?
Yes. Caroline Shank is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Caroline Shank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shank reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Shank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Caroline Shank was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Caroline Shank · NPI 1013476209
Student in an Organized Health Care Education/Training Program provider in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since March 18, 2019.
## Identity
- **NPI:** 1013476209 (Entity type: Individual)
- **Enumerated:** March 18, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 26901 76TH AVE, New Hyde Park, NY 11040-1433
- **Phone:** (718) 270-3206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013476209) · Data from the CMS NPPES public registry.