1. Home
  2. Directory
  3. New York
  4. Camillus
  5. Nurse Practitioner
  6. NPI Profile

SHELLY LYNN PETERS
NPI 1083267959
Nurse Practitioner - Psychiatric/Mental Health in Camillus, NY

Active since July 19, 2019
5700 W GENESEE ST STE 132, CAMILLUS, NY 13031(315) 362-2540(315) 671-1786 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2019, Jul 19, 2019 (2 updates tracked since 2019).

About Shelly Lynn Peters NPPES

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

SHELLY LYNN PETERS (NPI 1083267959) is a healthcare organization registered as a psychiatric/mental health in Camillus, New York and active in the NPI registry since July 2019. The organization lists Shelly Lynn Peters, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083267959
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOMPASSIONATE PSYCHIATRIC NP CARE PLLC
Location Address5700 W GENESEE ST STE 132Camillus, NY 13031-3212
Mailing Address5700 W Genesee St Ste 132Camillus, NY 13031-3212 · (315) 362-2540 · Fax (315) 671-1786
Phone(315) 362-2540
Fax(315) 671-1786
Organization SubpartNo
Authorized OfficialShelly Lynn PetersOwner/nurse Practitioner · (315) 362-2540
Enumeration DateJuly 19, 2019
Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration
✔ NPI 1083267959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5700 W GENESEE ST STE 132, Camillus, NY 13031
Open in Google Maps ↗

Other Names 1

Doing Business AsShelly Lynn Peters

Other Identifiers 2

Medicaid04532216NY
Other1942754015NY · Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY DEUEL RN BSN
Registered Nurse
5700 W GENESEE ST STE 132
CAMILLUS, NY 13031
Onondaga County (315) 362-2540
C. ANITA STEWART BS
Counselor (Pastoral)
5700 W GENESEE ST STE 132
CAMILLUS, NY 13031
Onondaga County (315) 362-2540

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 Compassionate Psychiatric Np Care PLLC's NPI number?

The NPI number for Compassionate Psychiatric Np Care PLLC is 1083267959. It was assigned to this organization in the NPPES registry on July 19, 2019. The provider is doing business as Shelly Lynn Peters.

Where is Compassionate Psychiatric Np Care PLLC located?

Compassionate Psychiatric Np Care PLLC is located at 5700 W Genesee St Ste 132, Camillus, NY 13031. The listed phone number is (315) 362-2540.

What is Compassionate Psychiatric Np Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Compassionate Psychiatric Np Care PLLC was last updated on August 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.