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

SHABNAM KHALIFA
NPI 1629622337
Nurse Practitioner - Family in Amesbury, MA

Active since July 31, 2019PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2026, Aug 29, 2019, Jul 31, 2019 (3 updates tracked since 2019).

About Shabnam Khalifa NPPES

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

SHABNAM KHALIFA (NPI 1629622337) is an individual family provider in Amesbury, Massachusetts, licensed in Massachusetts (RN2294164) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629622337
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHABNAM KHALIFA
Location Address5 MACY STAmesbury, MA 01913-3706
Mailing Address5 Macy StAmesbury, MA 01913-3706 · (978) 834-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 31, 2019
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1629622337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2294164
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN2294164 (MA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0031202 (OH), 3017541 (KY), APRN03064 (RI), NP500002239 (DC), 11018215 (FL), 101.0149386 (VT), 53-81003-042 (KS), 087557-23 (NH), CNP221121 (ME), R253163 (MD), LG0011932 (DE)
5 MACY ST, Amesbury, MA 01913

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shabnam Khalifa 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 ID1052642410
PECOS Enrollment IDI20191016001209, I20220523002397, I20220714001504
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 Reassignments

5

Medicare enrollment records show Shabnam Khalifa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
67D MAIN ST
Medway, MA 02053
  • Reassigned Medicare billing, Massachusetts enrollment
  • 186 clinicians in this Medicare group
Family
51 MARKET ST
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 38 clinicians in this Medicare group
Family
320 40TH ST NE
Washington, DC 20019
  • Reassigned Medicare billing, District of Columbia enrollment
  • 83 clinicians in this Medicare group
Family
4961 ROBERTS RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 246 clinicians in this Medicare group
Family
11729 ROE AVE
Leawood, KS 66211
  • Reassigned Medicare billing, Kansas enrollment
  • 107 clinicians in this Medicare group

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01913 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 9

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

Pharmacist
5 MACY ST
AMESBURY, MA 01913
Pharmacist
5 MACY ST
AMESBURY, MA 01913
Pharmacist
5 MACY ST
AMESBURY, MA 01913
Nurse Practitioner (Family)
5 MACY ST
AMESBURY, MA 01913
Pharmacist
5 MACY ST
AMESBURY, MA 01913
Nurse Practitioner (Family)
5 MACY ST
AMESBURY, MA 01913
Nurse Practitioner
5 MACY ST
AMESBURY, MA 01913
Pharmacy
5 MACY ST
AMESBURY, MA 01913

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 Shabnam Khalifa's NPI number?

The NPI number for Shabnam Khalifa is 1629622337. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Shabnam Khalifa located?

Shabnam Khalifa practices at 5 Macy St, Amesbury, MA 01913. The listed phone number is (978) 834-3000.

What is Shabnam Khalifa's specialty?

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

Is Shabnam Khalifa enrolled in Medicare?

Yes. Shabnam Khalifa 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.

Which organizations bill Medicare for Shabnam Khalifa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabnam Khalifa reassigns Medicare benefits to 5 organizations: Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA), Minuteclinic Diagnostic Of Maine, LLC (South Portland, ME), Mc Medical Group Of Dc, PC (Washington, DC), Minuteclinic Diagnostic Of Ohio LLC (Hilliard, OH) and Minuteclinic Diagnostic Of Kansas PA (Leawood, KS). Each 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 Shabnam Khalifa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shabnam Khalifa accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Shabnam Khalifa 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 Shabnam Khalifa was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.