MS. ELIZABETH BERNADETTE SHELLEY MSN, FNP, RN
NPI 1073862207
Nurse Practitioner - Family in Bronx, NY

Q: What is Elizabeth Shelley's NPI number?

The NPI number for Elizabeth Shelley is 1073862207. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Q: What is Elizabeth Shelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Shelley was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 04, 2012PECOS EnrolledAccepts Medicare Assignment

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2021, Jun 15, 2016 (2 updates tracked since 2016).

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About Ms. Elizabeth Bernadette Shelley Msn, Fnp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH BERNADETTE SHELLEY MSN, FNP, RN (NPI 1073862207) is an individual family provider in Bronx, New York, licensed in New York (F339329) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073862207

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ELIZABETH BERNADETTE SHELLEYCredential: MSN, FNP, RN

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 4, 2012

Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1073862207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F339329

Also ListedRegistered NurseTaxonomy 163W00000X · License 652493 (NY)

2015 GRAND CONCOURSE, Bronx, NY 10453

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Other Identifiers 1

Medicaid04103251NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Elizabeth Bernadette Shelley Msn, Fnp, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688995046

PECOS Enrollment IDI20150610001992

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

16 services13 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)