SHANTEL ECCLESTON
NPI 1255904751
Nurse Practitioner - Neonatal, Critical Care in Rosedale, NY
About Shantel Eccleston NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTEL ECCLESTON (NPI 1255904751) is an individual neonatal, critical care provider in Rosedale, New York, licensed in New York (350494) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shantel Eccleston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shantel Eccleston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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 11422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shantel Eccleston's NPI number?
The NPI number for Shantel Eccleston is 1255904751. It was assigned to this individual provider in the NPPES registry on July 21, 2021.
Where is Shantel Eccleston located?
Shantel Eccleston practices at 12103 234th St, Rosedale, NY 11422. The listed phone number is (347) 232-0792.
What is Shantel Eccleston's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Shantel Eccleston enrolled in Medicare?
Yes. Shantel Eccleston is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shantel Eccleston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantel Eccleston reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Shantel Eccleston'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 Shantel Eccleston was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shantel Eccleston · NPI 1255904751
Neonatal, Critical Care physician in Rosedale, New York. Individual provider, active in the CMS NPPES registry since July 21, 2021.
## Identity
- **NPI:** 1255904751 (Entity type: Individual)
- **Enumerated:** July 21, 2021
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 350494 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12103 234TH ST, Rosedale, NY 11422-1026
- **Phone:** (347) 232-0792
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255904751) · Data from the CMS NPPES public registry.