Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEAH CAROL SHAMBLIN FNP-BC
NPI 1083564272
Nurse Practitioner - Family in Latham, NY

Active since January 29, 2026PECOS Enrolled
6 WELLNESS WAY STE 114, LATHAM, NY 12110(518) 785-5881 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leah Carol Shamblin Fnp-bc NPPES

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

LEAH CAROL SHAMBLIN FNP-BC (NPI 1083564272) is an individual family provider in Latham, New York, licensed in New York (F358906) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083564272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEAH CAROL SHAMBLINCredential: FNP-BC
Location Address6 WELLNESS WAY STE 114Latham, NY 12110-2142
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 29, 2026
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1083564272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F358906
6 WELLNESS WAY STE 114, Latham, NY 12110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Carol Shamblin Fnp-bc 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 ID3173099454
PECOS Enrollment IDI20260415000092
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.

Medicare Billing Reassignment

Medicare enrollment records show Leah Shamblin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
31 LOWER HUDSON AVENUE, ST PETER'S GYNCEOLOGY
Green Island, NY 12183
  • Reassigned Medicare billing, New York enrollment
  • 742 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 14

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

Family Medicine
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Nurse Practitioner (Family)
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Physician Assistant
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Family Medicine
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Family Medicine
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Registered Nurse (Diabetes Educator)
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Physician Assistant
6 WELLNESS WAY STE 114
LATHAM, NY 12110
Family Medicine
6 WELLNESS WAY STE 114
LATHAM, NY 12110

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 Leah Shamblin's NPI number?

The NPI number for Leah Shamblin is 1083564272. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Leah Shamblin located?

Leah Shamblin practices at 6 Wellness Way Ste 114, Latham, NY 12110. The listed phone number is (518) 785-5881.

What is Leah Shamblin's specialty?

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

Is Leah Shamblin enrolled in Medicare?

Yes. Leah Shamblin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leah Shamblin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Shamblin reassigns Medicare benefits to St. Peter's Health Partners Medical Associates, P.C. (Green Island, 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 Leah Shamblin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Leah Shamblin affiliated with any hospitals?

According to CMS data, Leah Shamblin is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Leah Shamblin was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.