SHIRLEY CHAN CRNA
NPI 1215646351
Nurse Anesthetist, Certified Registered in Schenectady, NY
About Shirley Chan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRLEY CHAN CRNA (NPI 1215646351) is an individual nurse anesthetist, certified registered in Schenectady, New York, licensed in New York (630105) and active in the NPI registry since November 2022. She is affiliated with Ellis Hospital and is a graduate of Albany Medical College Of Union University (2022).
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
Shirley Chan Crna 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 Reassignments
2Medicare enrollment records show Shirley Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 92 clinicians in this Medicare group
Massapequa, NY 11758
- Reassigned Medicare billing, New York enrollment
- 223 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ellis Hospital
Acute Care Hospitals · Schenectady, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12308 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCHENECTADY, NY 12308
SCHENECTADY, NY 12308
SCHENECTADY, NY 12308
SCHENECTADY, NY 12308
SCHENECTADY, NY 12308
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 Shirley Chan's NPI number?
The NPI number for Shirley Chan is 1215646351. It was assigned to this individual provider in the NPPES registry on November 17, 2022.
Where is Shirley Chan located?
Shirley Chan practices at 1201 Nott St, Schenectady, NY 12308. The listed phone number is (518) 374-3123.
What is Shirley Chan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shirley Chan enrolled in Medicare?
Yes. Shirley Chan 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 organizations bill Medicare for Shirley Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Chan reassigns Medicare benefits to 2 organizations: Schenectady Anesthesia Associates, P.C. (Schenectady, NY) and Gastrointestinal Care Of Long Island PLLC (Massapequa, NY). Each 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 Shirley Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shirley Chan affiliated with any hospitals?
According to CMS data, Shirley Chan is affiliated with Ellis Hospital.
When was this NPI record last updated?
The NPPES record for Shirley Chan was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shirley Chan, CRNA · NPI 1215646351
Nurse Anesthetist, Certified Registered physician in Schenectady, New York. Individual provider, active in the CMS NPPES registry since November 17, 2022.
## Identity
- **NPI:** 1215646351 (Entity type: Individual)
- **Enumerated:** November 17, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 630105 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 NOTT ST, Schenectady, NY 12308-2589
- **Phone:** (518) 374-3123
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Schenectady Anesthesia Associates, P.C. (NPI 1457352411, Schenectady, NY); Gastrointestinal Care Of Long Island PLLC (NPI 1265571863, Massapequa, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2022
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215646351) · Data from the CMS NPPES public registry.