SHAUNDEL SERITA CLARKE NP
NPI 1619319803
Nurse Practitioner - Adult Health in Brooklyn, NY

Q: What is Shaundel Clarke's NPI number?

The NPI number for Shaundel Clarke is 1619319803. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Q: What is Shaundel Clarke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shaundel Clarke was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 29, 2013PECOS Enrolled

1797 PITKIN AVE, BROOKLYN, NY 11212(718) 971-1944(718) 971-1945 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shaundel Serita Clarke Np NPPES

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

SHAUNDEL SERITA CLARKE NP (NPI 1619319803) is an individual adult health provider in Brooklyn, New York, licensed in New York (F306566-1) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619319803

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHAUNDEL SERITA CLARKECredential: NP

Location Address1797 PITKIN AVEBrooklyn, NY 11212-7839

Mailing Address1797 Pitkin AveBrooklyn, NY 11212-7839 · (718) 971-1944 · Fax (718) 971-1945

Phone(718) 971-1944

Fax(718) 971-1945

Sole ProprietorYes

Enumeration DateJuly 29, 2013

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1619319803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F306566-1

1797 PITKIN AVE, Brooklyn, NY 11212

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaundel Serita Clarke Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Shaundel Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doral Medical And Multi Specialty Facility LLC

Same address

Multi-Specialty

1797 PITKIN AVE
Brooklyn, NY 11212

Reassigned Medicare billing, New York enrollment
73 clinicians in this Medicare group

NPI 1144693607 (718) 367-2555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11212 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.

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.

MISS ANGELISA MERLIAN GARCIA GARCIA LMSW

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