SHAYNA COLEMAN NP
NPI 1124609185
Nurse Practitioner - Family in Smithtown, NY
About Shayna Coleman Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYNA COLEMAN NP (NPI 1124609185) is an individual family provider in Smithtown, New York, licensed in New York (F346009) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Shayna Coleman Np 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 Reassignment
Medicare enrollment records show Shayna Coleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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 11787 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
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 Shayna Coleman's NPI number?
The NPI number for Shayna Coleman is 1124609185. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Shayna Coleman located?
Shayna Coleman practices at 260 E Middle Country Rd, Smithtown, NY 11787. The listed phone number is (631) 265-5050.
What is Shayna Coleman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shayna Coleman enrolled in Medicare?
Yes. Shayna Coleman 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 Shayna Coleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shayna Coleman reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, 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 Shayna Coleman'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 Shayna Coleman was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shayna Coleman, NP · NPI 1124609185
Family physician in Smithtown, New York. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1124609185 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F346009 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 E MIDDLE COUNTRY RD, Smithtown, NY 11787-2982
- **Phone:** (631) 265-5050
## 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:** North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 20, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124609185) · Data from the CMS NPPES public registry.