SHIRLEY NELSON DO PC
NPI 1073992285
Clinic/Center - Primary Care in Nanuet, NY
About Shirley Nelson Do Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRLEY NELSON DO PC (NPI 1073992285) is a healthcare organization registered as a primary care in Nanuet, New York and active in the NPI registry since May 2015. The organization lists Shirley Nelson, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shirley Nelson Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shirley Nelson Do PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shirley Nelson Do PC's NPI number?
The NPI number for Shirley Nelson Do PC is 1073992285. It was assigned to this organization in the NPPES registry on May 20, 2015.
Where is Shirley Nelson Do PC located?
Shirley Nelson Do PC is located at 55 Old Nyack Tpke Suite 507, Nanuet, NY 10954. The listed phone number is (845) 352-2899.
What is Shirley Nelson Do PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Shirley Nelson Do PC enrolled in Medicare?
Yes. Shirley Nelson Do PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shirley Nelson Do PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shirley Nelson Do PC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shirley Nelson Do PC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shirley Nelson Do Pc · NPI 1073992285
Primary Care organization in Nanuet, New York. Organization record, active in the CMS NPPES registry since May 20, 2015.
## Identity
- **NPI:** 1073992285 (Entity type: Organization)
- **Enumerated:** May 20, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shirley Nelson, DOCTOR
## Practice location
- **Address:** 55 OLD NYACK TPKE, SUITE 507, Nanuet, NY 10954-2461
- **Phone:** (845) 352-2899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073992285) · Data from the CMS NPPES public registry.