SHAWNTEY I BAILEY-HUDSON
NPI 1093558256
Nurse Practitioner - Adult Health in Syracuse, NY

Q: 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.

Q: 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.

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment

5075 W SENECA TPKE, SYRACUSE, NY 13215(888) 256-3814 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jun 17, 2024 (2 updates tracked since 2024).

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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

NPI1093558256

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHAWNTEY I BAILEY-HUDSON

Location Address5075 W SENECA TPKESyracuse, NY 13215-3216

Mailing Address1100 Nw South Outer Rd Ste 200Blue Springs, MO 64015-3069 · (888) 256-3814

Phone(888) 256-3814

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 17, 2024

Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1093558256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F307638

5075 W SENECA TPKE, Syracuse, NY 13215

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Secondary Practice Locations 2

Location 110976 209th PlQueens Village, NY 11429-1763 · Phone (347) 423-9337

Location 21100 NW South Outer Rd Ste 200Blue Springs, MO 64015-3069 · Phone (888) 256-3814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4486194875

PECOS Enrollment IDI20240912000736

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.

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.

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.

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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.

RACHEL CASTILLO FNP

Nurse Practitioner (Family)