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ANDREA M SHAUL CPNP
NPI 1336632587
Nurse Practitioner - Pediatrics in Johnson City, NY

Active since June 12, 2018PECOS Enrolled
639 MAIN ST, JOHNSON CITY, NY 13790(607) 770-1988(607) 770-1988 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Jan 10, 2019, Jun 12, 2018 (3 updates tracked since 2018).

About Andrea M Shaul Cpnp NPPES

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

ANDREA M SHAUL CPNP (NPI 1336632587) is an individual pediatrics provider in Johnson City, New York, licensed in New York (F382793-1) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Towanda.

NPPES Registry Identity

NPI1336632587
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANDREA M SHAULCredential: CPNP
Location Address639 MAIN STJohnson City, NY 13790-1805
Mailing Address71 Hospital DrTowanda, PA 18848-9702 · (570) 265-6300 · Fax (570) 268-2807
Phone(607) 770-1988
Fax(607) 770-1988
Sole ProprietorNo
Enumeration DateJune 12, 2018
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1336632587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F382793-1✔ Licensed in PA · SP017960
639 MAIN ST, Johnson City, NY 13790
Open in Google Maps ↗

Secondary Practice Location 1

Location 171 Hospital DrTowanda, PA 18848-9702 · Phone (570) 265-0113 · Fax (570) 268-2812

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea M Shaul Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

MISS RUNAK PATEL M.D.
Pediatrics
639 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 770-1988
WILLIAM MILLER M.D.
Pediatrics (Adolescent Medicine)
639 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 770-1988
DR. DAVID CHANNING CARTER M.D.
Pediatrics
639 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 770-9899
PEDIATRIC AND ADOLESCENT HEALTH
Pediatrics (Adolescent Medicine)
639 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 770-1988

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 Andrea Shaul's NPI number?

The NPI number for Andrea Shaul is 1336632587. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Andrea Shaul located?

Andrea Shaul practices at 639 Main St, Johnson City, NY 13790. The listed phone number is (607) 770-1988.

What is Andrea Shaul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Andrea Shaul enrolled in Medicare?

Yes. Andrea Shaul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Shaul was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.