ELIZABETH M SHORTELL NURSE PRACTITIONER
NPI 1154630549
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since October 02, 2010PECOS Enrolled

101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE, STONY BROOK, NY 11794(631) 444-7786 Get Directions Write a Review

NPPES record last updated: October 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1154630549

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameELIZABETH M SHORTELLCredential: NURSE PRACTITIONER

Location Address101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINEStony Brook, NY 11794-8172

Mailing Address101 Nicolls RdStony Brook, NY 11794-8500 · (631) 444-1512

Phone(631) 444-7786

Sole ProprietorNo

Enumeration DateOctober 2, 2010

✔ NPI 1154630549 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 · 7233900

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth M Shortell Nurse Practitioner 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.

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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.