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MS. SHAUNA MARIE ROLOFF NPP
NPI 1093489833
Nurse Practitioner - Psychiatric/Mental Health in Schenectady, NY

Active since August 05, 2021PECOS Enrolled
146 BARRETT ST STE 2, SCHENECTADY, NY 12305(518) 952-9290 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2021, Aug 5, 2021 (2 updates tracked since 2021).

About Ms. Shauna Marie Roloff Npp NPPES

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

MS. SHAUNA MARIE ROLOFF NPP (NPI 1093489833) is an individual psychiatric/mental health provider in Schenectady, New York, licensed in New York (403601) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093489833
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SHAUNA MARIE ROLOFFCredential: NPP
Location Address146 BARRETT ST STE 2Schenectady, NY 12305-2004
Mailing Address625 Fellows AveSyracuse, NY 13210-3107 · (678) 662-4247
Phone(518) 952-9290
Sole ProprietorNo
Enumeration DateAugust 5, 2021
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1093489833 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
License✔ Licensed in NY · 403601
146 BARRETT ST STE 2, Schenectady, NY 12305
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-9860
Location 2719 Harrison StSyracuse, NY 13210-2695 · Phone (315) 464-3265

Other Identifiers 1

Medicaid06772370NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shauna Marie Roloff Npp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Shauna Roloff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allied Wellness Collective, Ipa, LLC
Same address
Mental Health (Including Community Mental Health Center)
146 BARRETT ST STE 2
Schenectady, NY 12305
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1477221950 (518) 952-9290
Psychiatry Faculty Practice, Inc.
113 mi
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119
St Josephs Hospital Health Center
113 mi
General Acute Care Hospital
301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 369 clinicians in this Medicare group
NPI 1508815333 (315) 448-5880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12305 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 10

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

SHELBE DANZEY
Marriage & Family Therapist
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
CONNIE KINCH LMHC
Counselor (Mental Health)
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
ANGELIQUE ANDERSON LMHC
Counselor (Mental Health)
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
AMY CROWLEY LMHC, CASAC-2
Counselor (Mental Health)
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
MR. STEVEN W PERDEK LMHC-D
Counselor (Mental Health)
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 516-1080
SOUTHGATE MARRIAGE & FAMILY THERAPY, PLLC
Marriage & Family Therapist
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
GEHRIG MARTIN LMHC
Counselor (Mental Health)
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290
ALLIED WELLNESS COLLECTIVE, IPA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
146 BARRETT ST STE 2
SCHENECTADY, NY 12305
Schenectady County (518) 952-9290

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 Shauna Roloff's NPI number?

The NPI number for Shauna Roloff is 1093489833. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Shauna Roloff located?

Shauna Roloff practices at 146 Barrett St Ste 2, Schenectady, NY 12305. The listed phone number is (518) 952-9290.

What is Shauna Roloff's specialty?

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

Is Shauna Roloff enrolled in Medicare?

Yes. Shauna Roloff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shauna Roloff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Roloff reassigns Medicare benefits to 3 organizations: Allied Wellness Collective, Ipa, LLC (Schenectady, NY), Psychiatry Faculty Practice, Inc. (Syracuse, NY) and St Josephs Hospital Health Center (Syracuse, NY). Each 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 Shauna Roloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shauna Roloff was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.