SHIRLEY VINCENT DNP, MSN, FNP-BC
NPI 1336532126
Nurse Practitioner - Family in Elizabeth, NJ

Active since March 18, 2015PECOS Enrolled
1150 DICKINSON ST, ELIZABETH, NJ 07201(908) 354-8900(908) 354-0007 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2019, Mar 17, 2018, Nov 10, 2017 (3 updates tracked since 2017).

About Shirley Vincent Dnp, Msn, Fnp-bc NPPES

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

SHIRLEY VINCENT DNP, MSN, FNP-BC (NPI 1336532126) is an individual family provider in Elizabeth, New Jersey, licensed in New York (F337495) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336532126
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIRLEY VINCENTCredential: DNP, MSN, FNP-BC
Location Address1150 DICKINSON STElizabeth, NJ 07201-2210
Mailing Address28 Celebration LnStaten Island, NY 10304-4615 · (917) 415-3215
Fax(908) 354-0007
Sole ProprietorNo
Enumeration DateMarch 18, 2015
Last NPPES UpdateApril 24, 20233 updates tracked since enumeration
NPPES CertifiedApril 22, 2023
✔ NPI 1336532126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F337495
1150 DICKINSON ST, Elizabeth, NJ 07201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Vincent Dnp, Msn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shirley Vincent reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1050 CLOVE RD, UCC
Staten Island, NY 10301
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 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 07201 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Adult Health)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Internal Medicine (Cardiovascular Disease)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Internal Medicine
1150 DICKINSON ST
ELIZABETH, NJ 07201
Internal Medicine (Cardiovascular Disease)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Clinic/Center (Urgent Care)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Internal Medicine (Gastroenterology)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Physician Assistant
1150 DICKINSON ST
ELIZABETH, NJ 07201

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 Vincent's NPI number?

The NPI number for Shirley Vincent is 1336532126. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Shirley Vincent located?

Shirley Vincent practices at 1150 Dickinson St, Elizabeth, NJ 07201. The listed phone number is (908) 354-8900.

What is Shirley Vincent's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shirley Vincent enrolled in Medicare?

Yes. Shirley Vincent is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shirley Vincent's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Vincent reassigns Medicare benefits to 2 organizations: Advantagecare Physicians PC (Staten Island, NY) and Brookview Medical Associates, PLLC (Bohemia, 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 Vincent'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 Shirley Vincent was last updated on April 24, 2023. 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.