ELIZABETH M SHORTELL NURSE PRACTITIONER
NPI 1154630549
Nurse Practitioner - Adult Health in Stony Brook, NY
About Elizabeth M Shortell Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH M SHORTELL NURSE PRACTITIONER (NPI 1154630549) is an individual adult health provider in Stony Brook, New York, licensed in New York (7233900) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.
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 (PECOS)
Elizabeth M Shortell Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Shortell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 24 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 11794 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Elizabeth Shortell's NPI number?
The NPI number for Elizabeth Shortell is 1154630549. It was assigned to this individual provider in the NPPES registry on October 2, 2010.
Where is Elizabeth Shortell located?
Elizabeth Shortell practices at 101 Nicolls Rd Hsc-T17 Room 040/Division Od Pulmonary Medicine, Stony Brook, NY 11794. The listed phone number is (631) 444-7786.
What is Elizabeth Shortell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Elizabeth Shortell enrolled in Medicare?
Yes. Elizabeth Shortell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Shortell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Shortell reassigns Medicare benefits to Long Island Physician Associates, PLLC (Port Jefferson, 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 Elizabeth Shortell'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 Elizabeth Shortell was last updated on October 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.