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

SHINE MEDICAL PROVIDERS PC
NPI 1538894050
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Shine Medical Providers PC's NPI number?

The NPI number for Shine Medical Providers PC is 1538894050. It was assigned to this organization in the NPPES registry on July 19, 2022.

Q: What is Shine Medical Providers PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 19, 2022

709 N 2ND ST STE 400, PHILADELPHIA, PA 19123(888) 380-2028 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 15, 2026, Oct 4, 2024, Jan 18, 2023 and 2 more (5 updates tracked since 2022).

On this page

About Shine Medical Providers Pc NPPES

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

SHINE MEDICAL PROVIDERS PC (NPI 1538894050) is a healthcare organization registered as a psychiatry in Philadelphia, Pennsylvania and active in the NPI registry since July 2022. The organization lists Clare Frances Boals Frye, Svp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1538894050

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSHINE MEDICAL PROVIDERS PC

Location Address709 N 2ND ST STE 400Philadelphia, PA 19123-3108

Mailing AddressPo Box 52477Phoenix, AZ 85072-2477

Phone(888) 380-2028

Organization SubpartNo

Authorized OfficialClare Frances Boals FryeSvp Of Operations · (616) 648-1196

Enumeration DateJuly 19, 2022

Last NPPES UpdateSeptember 15, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1538894050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

709 N 2ND ST STE 400, Philadelphia, PA 19123

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Medical Providers Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shine Medical Providers PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher Dennis, MD

Psychiatry

NPI 1811068349

7755 CENTER AVE SUITE 630
Huntington Beach, CA 92647

(917) 743-5439

✔ PECOS2,390 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shine Medical Providers PC's NPI number?

The NPI number for Shine Medical Providers PC is 1538894050. It was assigned to this organization in the NPPES registry on July 19, 2022.

Where is Shine Medical Providers PC located?

Shine Medical Providers PC is located at 709 N 2nd St Ste 400, Philadelphia, PA 19123. The listed phone number is (888) 380-2028.

What is Shine Medical Providers PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shine Medical Providers PC enrolled in Medicare?

Yes. Shine Medical Providers PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Medical Providers PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Shine Medical Providers PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shine Medical Providers PC accept?

Health plans from Blue Cross and Blue Shield of Texas list Shine Medical Providers PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shine Medical Providers PC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.