SHAWNTEY I BAILEY-HUDSON
NPI 1093558256
Nurse Practitioner - Adult Health in Syracuse, NY
About Shawntey I Bailey-hudson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNTEY I BAILEY-HUDSON (NPI 1093558256) is an individual adult health provider in Syracuse, New York, licensed in New York (F307638) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Shawntey I Bailey-hudson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shawntey Bailey-hudson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
White Plains, NY 10606
- Reassigned Medicare billing, New York enrollment
- 31 clinicians in this Medicare group
Schaumburg, IL 60195
- Reassigned Medicare billing, New York enrollment
- 54 clinicians in this Medicare group
Saint Louis, MO 63102
- Reassigned Medicare billing, New York enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shawntey Bailey-hudson's NPI number?
The NPI number for Shawntey Bailey-hudson is 1093558256. It was assigned to this individual provider in the NPPES registry on June 17, 2024.
Where is Shawntey Bailey-hudson located?
Shawntey Bailey-hudson practices at 5075 W Seneca Tpke, Syracuse, NY 13215. The listed phone number is (888) 256-3814.
What is Shawntey Bailey-hudson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Shawntey Bailey-hudson enrolled in Medicare?
Yes. Shawntey Bailey-hudson 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 organizations bill Medicare for Shawntey Bailey-hudson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawntey Bailey-hudson reassigns Medicare benefits to 3 organizations: New York State Medical Health Services PC (White Plains, NY), Senf Np Family Medicine PLLC (Schaumburg, IL) and Wound Care Plus, LLC (Saint Louis, MO). 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 Shawntey Bailey-hudson'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 Shawntey Bailey-hudson was last updated on July 24, 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.
# Shawntey I Bailey-Hudson · NPI 1093558256
Adult Health physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since June 17, 2024.
## Identity
- **NPI:** 1093558256 (Entity type: Individual)
- **Enumerated:** June 17, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F307638 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5075 W SENECA TPKE, Syracuse, NY 13215-3216
- **Phone:** (888) 256-3814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): New York State Medical Health Services PC (NPI 1053173872, White Plains, NY); Senf Np Family Medicine PLLC (NPI 1821702432, Schaumburg, IL); Wound Care Plus, LLC (NPI 1841657053, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093558256) · Data from the CMS NPPES public registry.