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SHANNIQUA MITCHELL FNP-BC
NPI 1528562105
Nurse Practitioner - Family in West Haverstraw, NY

Active since March 20, 2018PECOS Enrolled
94 BENSON ST, WEST HAVERSTRAW, NY 10993(845) 274-0070 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 16, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Shanniqua Mitchell Fnp-bc NPPES

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

SHANNIQUA MITCHELL FNP-BC (NPI 1528562105) is an individual family provider in West Haverstraw, New York, licensed in New York (357874) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528562105
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNIQUA MITCHELLCredential: FNP-BC
Location Address94 BENSON STWest Haverstraw, NY 10993-1303
Mailing Address94 Benson StWest Haverstraw, NY 10993-1303
Phone(845) 274-0070
Sole ProprietorYes
Enumeration DateMarch 20, 2018
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1528562105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 357874
Also ListedRegistered NurseTaxonomy 163W00000X · License 627210 (NY)
94 BENSON ST, West Haverstraw, NY 10993
Open in Google Maps ↗

Other Identifiers 1

Other627210NY · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanniqua Mitchell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10993 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Shanniqua Mitchell's NPI number?

The NPI number for Shanniqua Mitchell is 1528562105. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Shanniqua Mitchell located?

Shanniqua Mitchell practices at 94 Benson St, West Haverstraw, NY 10993. The listed phone number is (845) 274-0070.

What is Shanniqua Mitchell's specialty?

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

Is Shanniqua Mitchell enrolled in Medicare?

Yes. Shanniqua Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shanniqua Mitchell was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.