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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY SHI
NPI 1528957776
Physician Assistant in New York, NY

Active since July 01, 2025PECOS Enrolled
1 PACE PLZ, NEW YORK, NY 10038(866) 722-3338 Get Directions Write a Review

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

Record update history: Jul 21, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Kelly Shi NPPES

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

KELLY SHI (NPI 1528957776) is an individual physician assistant in New York, New York, licensed in New York (034911) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528957776
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY SHI
Location Address1 PACE PLZNew York, NY 10038-1502
Mailing Address1 Pace PlzNew York, NY 10038-1502 · (866) 722-3338
Phone(866) 722-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1528957776 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 · 034911
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.
1 PACE PLZ, New York, NY 10038
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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 and accepts Medicare assignment

Kelly Shi 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 ID8022583228
PECOS Enrollment IDI20260406001809
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 10038 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

SYDNEY ANA DOLORES BENTON
Neurological Surgery
1 PACE PLZ
NEW YORK, NY 10038
New York County (212) 346-1200
JESSICA MARY-KATHLEEN AYANNA WHITE PA-C
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (866) 722-3338
ASHLYN BRANDNER PA
Physician Assistant (Surgical)
1 PACE PLZ
NEW YORK, NY 10038
New York County (866) 722-3338
ALEXIS BROWN
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (866) 722-3338
STEPHANIE MELENDEZ
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (212) 346-1200
MS. ANNA MICHELLE SZYNWALD PA-C
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (212) 618-6052
VANESSA ESPINAL
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (866) 722-3338
MICHELLE ZHENG
Physician Assistant
1 PACE PLZ
NEW YORK, NY 10038
New York County (866) 722-3338

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 Kelly Shi's NPI number?

The NPI number for Kelly Shi is 1528957776. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Kelly Shi located?

Kelly Shi practices at 1 Pace Plz, New York, NY 10038. The listed phone number is (866) 722-3338.

What is Kelly Shi's specialty?

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

Is Kelly Shi enrolled in Medicare?

Yes. Kelly Shi 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.

When was this NPI record last updated?

The NPPES record for Kelly Shi was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.