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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.

MRS. SHANNAN MARIE MAXEY-RICOY RPA-C
NPI 1700828340
Physician Assistant - Medical in Amityville, NY

Active since June 11, 2006PECOS Enrolled
221 BROADWAY, SUITE 207, AMITYVILLE, NY 11701(631) 598-0009(631) 598-0099 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shannan Marie Maxey-ricoy Rpa-c NPPES

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

MRS. SHANNAN MARIE MAXEY-RICOY RPA-C (NPI 1700828340) is an individual medical provider in Amityville, New York, licensed in New York (009533) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1700828340
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SHANNAN MARIE MAXEY-RICOYCredential: RPA-C
Location Address221 BROADWAY, SUITE 207Amityville, NY 11701-2780
Mailing Address99 Kentucky StLong Beach, NY 11561-1229 · (516) 902-8389 · Fax (516) 897-6458
Phone(631) 598-0009
Fax(631) 598-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1700828340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009533
221 BROADWAY, Amityville, NY 11701
Open in Google Maps ↗

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

Mrs. Shannan Marie Maxey-ricoy Rpa-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 ID7618989047
PECOS Enrollment IDI20110912000485
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 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,346 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%22 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

DR. MIROSLAV DJOKIC M.D.
Internal Medicine (Pulmonary Disease)
221 BROADWAY, SUITE 204
AMITYVILLE, NY 11701
Suffolk County (631) 598-5864
DR. NICOLA BECKLES PH.D.
Psychologist (Cognitive & Behavioral)
221 BROADWAY, SUITE 201C
AMITYVILLE, NY 11701
Suffolk County (718) 390-8815
HALO NETWORK, INC
Social Worker (Clinical)
221 BROADWAY, SUITE 206
AMITYVILLE, NY 11701
Suffolk County (631) 789-7373
KWANG SOO LEE MD
Psychiatry & Neurology (Psychiatry)
221 BROADWAY, SUITE 303
AMITYVILLE, NY 11701
Suffolk County (631) 789-7448
DONNAMARIE DZIKOWSKI LCSW
Social Worker (Clinical)
221 BROADWAY, SUITE 202B
AMITYVILLE, NY 11701
Suffolk County (631) 574-4606
WON GI IM MD
Psychiatry & Neurology (Psychiatry)
221 BROADWAY, SUITE 303
AMITYVILLE, NY 11701
Suffolk County (631) 789-7429
MOHAMMAD S HUSSAIN MD PC
Internal Medicine
221 BROADWAY, SUITE 204
AMITYVILLE, NY 11701
Suffolk County (631) 598-4897
MS. LOUISE CAROL SANTANA LCSW
Social Worker (Clinical)
221 BROADWAY, SUITE 303
AMITYVILLE, NY 11701
Suffolk County (631) 264-0834

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 Shannan Maxey-ricoy's NPI number?

The NPI number for Shannan Maxey-ricoy is 1700828340. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Shannan Maxey-ricoy located?

Shannan Maxey-ricoy practices at 221 Broadway Suite 207, Amityville, NY 11701. The listed phone number is (631) 598-0009.

What is Shannan Maxey-ricoy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannan Maxey-ricoy enrolled in Medicare?

Yes. Shannan Maxey-ricoy 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 Shannan Maxey-ricoy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.