SHADOE M DANIELS MPAS, PA-C
NPI 1215596317
Physician Assistant - Medical in Callicoon, NY

Q: What is Shadoe Daniels's NPI number?

The NPI number for Shadoe Daniels is 1215596317. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Shadoe Daniels's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shadoe Daniels was last updated on August 29, 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.

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment

8881 NY-97, CALLICOON, NY 12723(845) 333-6800 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 9, 2022, Jun 12, 2019 (2 updates tracked since 2019).

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About Shadoe M Daniels Mpas, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOE M DANIELS MPAS, PA-C (NPI 1215596317) is an individual medical provider in Callicoon, New York, licensed in New York (024896) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Cooperstown Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215596317

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSHADOE M DANIELSCredential: MPAS, PA-C

Location Address8881 NY-97Callicoon, NY 12723

Mailing Address8881 Ny-97Callicoon, NY 12723 · (845) 333-6800

Phone(845) 333-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1215596317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 024896✔ Licensed in ND · PAC0965✔ Licensed in PA · MA060726

8881 NY-97, Callicoon, NY 12723

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Secondary Practice Locations 4

Location 1575 N River StWilkes Barre, PA 18702-2634 · Phone (570) 829-8111

Location 2707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-1000

Location 368 Harris Bushville RdMonticello, NY 12701-3027 · Phone (845) 794-3300

Location 4107 12th St SCooperstown, ND 58425-4501 · Phone (701) 786-1700 · Fax (701) 786-7122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and more.Insurance ›

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

Shadoe M Daniels Mpas, Pa-c 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 ID4688900103

PECOS Enrollment IDI20221115001633

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

61 services57 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

31 services29 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

26 services24 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperstown Medical Center

Critical Access Hospitals · Cooperstown, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351306

Location1200 Roberts Ave NECooperstown, ND 58425 · Griggs County

Emergency services

South Central Health

Critical Access Hospitals · Wishek, ND

OwnershipGovernment - Local

CMS Certification Number351321

Location1007 4th Ave SWishek, ND 58495 · Mcintosh County

Emergency services

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 Shadoe Daniels's NPI number?

The NPI number for Shadoe Daniels is 1215596317. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Shadoe Daniels located?

Shadoe Daniels practices at 8881 Ny-97, Callicoon, NY 12723. The listed phone number is (845) 333-6800.

What is Shadoe Daniels's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shadoe Daniels enrolled in Medicare?

Yes. Shadoe Daniels 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.

What insurance does Shadoe Daniels accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and Sanford Health Plan list Shadoe Daniels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shadoe Daniels affiliated with any hospitals?

According to CMS data, Shadoe Daniels is affiliated with Cooperstown Medical Center and South Central Health.

When was this NPI record last updated?

The NPPES record for Shadoe Daniels was last updated on August 29, 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.