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SHANTEL ECCLESTON
NPI 1255904751
Nurse Practitioner - Neonatal, Critical Care in Rosedale, NY

Active since July 21, 2021PECOS Enrolled
12103 234TH ST, ROSEDALE, NY 11422(347) 232-0792 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1255904751
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameSHANTEL ECCLESTON
Location Address12103 234TH STRosedale, NY 11422-1026
Mailing Address12103 234th StRosedale, NY 11422-1026 · (347) 232-0792
Phone(347) 232-0792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1255904751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in NY · 350494
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 679343 (NY)
12103 234TH ST, Rosedale, NY 11422
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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)

Shantel Eccleston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820569411
PECOS Enrollment IDI20260604001578
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 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.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

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.