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SHELBY RAKUSIN PA-C
NPI 1528794138
Physician Assistant in Mount Kisco, NY

Active since July 26, 2022PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
400 E MAIN ST, MOUNT KISCO, NY 10549(914) 666-1254 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 12, 2023, Aug 22, 2022, Jul 26, 2022 (3 updates tracked since 2022).

About Shelby Rakusin Pa-c NPPES

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

SHELBY RAKUSIN PA-C (NPI 1528794138) is an individual physician assistant in Mount Kisco, New York, licensed in New York (028690-01) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528794138
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY RAKUSINCredential: PA-C
Location Address400 E MAIN STMount Kisco, NY 10549-3417
Mailing Address6111 Villa At The WoodsPeekskill, NY 10566-4972 · (914) 356-6718
Phone(914) 666-1254
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 26, 2022
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1528794138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 028690-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 E MAIN ST, Mount Kisco, NY 10549
Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 LaDue RdHopewell Junction, NY 12533-6471 · Phone (914) 356-6718
Location 26111 Villa At The WoodsPeekskill, NY 10566-4972 · Phone (914) 356-6718

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Rakusin Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587031851
PECOS Enrollment IDI20221031001822
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MS. MICHAEL ARLIA MD
Anesthesiology
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1691
DR. HERBERTH BALSELLS D.O.
Emergency Medicine
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1254
SABINA MUSOVIC SEFOVIC MD
Anesthesiology (Critical Care Medicine)
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1200
DR. ANDREW MONIK MOGGA MD
Student in an Organized Health Care Education/Training Program
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1931
MAZEN T KHALIFEH MD
Pediatrics (Neonatal-Perinatal Medicine)
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1862
NANDINI ANANDU MD
Internal Medicine
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1200
ANISHA DUVVI
Student in an Organized Health Care Education/Training Program
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1931
KAREN S ARTHUR MD
Surgery
400 E MAIN ST, NWH NORTH BUILDING 1ST FLOOR
MOUNT KISCO, NY 10549
Westchester County (914) 242-7640

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 Shelby Rakusin's NPI number?

The NPI number for Shelby Rakusin is 1528794138. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Shelby Rakusin located?

Shelby Rakusin practices at 400 E Main St, Mount Kisco, NY 10549. The listed phone number is (914) 666-1254.

What is Shelby Rakusin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelby Rakusin enrolled in Medicare?

Yes. Shelby Rakusin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shelby Rakusin affiliated with any hospitals?

According to CMS data, Shelby Rakusin is affiliated with Northern Westchester Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Rakusin was last updated on June 12, 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.