SHASTA DANIELLE TREADWAY PMHNP
NPI 1245953959
Nurse Practitioner - Psychiatric/Mental Health in Salt Point, NY

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment
94.03/100
CMS Quality Rating
2510 ROUTE 44 STE F, SALT POINT, NY 12578(844) 205-0773(845) 622-3636 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2026, Apr 2, 2026, Nov 4, 2025 and 1 more (4 updates tracked since 2022).

About Shasta Danielle Treadway Pmhnp NPPES

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

SHASTA DANIELLE TREADWAY PMHNP (NPI 1245953959) is an individual psychiatric/mental health provider in Salt Point, New York, licensed in New York (404416) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Delaware Valley Hospital, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245953959
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHASTA DANIELLE TREADWAYCredential: PMHNP
Location Address2510 ROUTE 44 STE FSalt Point, NY 12578-8040
Mailing Address2510 Route 44 Ste FSalt Point, NY 12578-8040 · (844) 205-0773 · Fax (845) 622-3636
Fax(845) 622-3636
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1245953959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 404416
2510 ROUTE 44 STE F, Salt Point, NY 12578

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

Shasta Danielle Treadway Pmhnp 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 ID1658749031
PECOS Enrollment IDI20221115003019
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.

Hospital Affiliations CMS Care Compare

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

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12578 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

94.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
2510 ROUTE 44 STE F
SALT POINT, NY 12578
Social Worker (Clinical)
2510 ROUTE 44 STE F
SALT POINT, NY 12578
Counselor (Mental Health)
2510 ROUTE 44 STE F
SALT POINT, NY 12578
Psychologist (Clinical)
2510 ROUTE 44 STE F
SALT POINT, NY 12578
Social Worker (Clinical)
2510 ROUTE 44 STE F
SALT POINT, NY 12578

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245953959, enumerated as an "individual" on September 19, 2022.

The provider is located at 2510 ROUTE 44 STE F SALT POINT, NY 12578 and the phone number is (844) 205-0773.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Shasta Treadway is affiliated with: DELAWARE VALLEY HOSPITAL, INC.