CAROLINE SHANK
NPI 1013476209
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since March 18, 2019PECOS Enrolled
26901 76TH AVE, NEW HYDE PARK, NY 11040(718) 270-3206 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 and is a graduate of State University Of Ny Upstate Medical University (2019).

NPPES Registry Identity

NPI1013476209
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINE SHANK
Location Address26901 76TH AVENew Hyde Park, NY 11040-1433
Mailing Address26901 76th AveNew Hyde Park, NY 11040-1433 · (718) 270-3206
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2019
Enumeration DateMarch 18, 2019
NPI 1013476209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
26901 76TH AVE, New Hyde Park, NY 11040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Caroline Shank is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163750803
PECOS Enrollment IDI20250710003221
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pharmacist
26901 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
26901 76TH AVE
NEW HYDE PARK, NY 11040
Pediatrics
26901 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Practitioner (Family)
26901 76TH AVE
NEW HYDE PARK, NY 11040
Pediatrics (Neonatal-Perinatal Medicine)
26901 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Practitioner (Neonatal)
26901 76TH AVE, SUITE 344
NEW HYDE PARK, NY 11040
Anesthesiology
26901 76TH AVE
NEW HYDE PARK, NY 11040
Student in an Organized Health Care Education/Training Program
26901 76TH AVE
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.

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.