SHAMSI FANI AGNP-BC
NPI 1710470877
Nurse Practitioner - Adult Health in Goshen, NY

Active since June 12, 2018PECOS Enrolled
30 HATFIELD LN STE 107, GOSHEN, NY 10924(845) 291-1260(845) 294-2312 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Mar 3, 2026, Nov 29, 2021 and 1 more (4 updates tracked since 2018).

About Shamsi Fani Agnp-bc NPPES

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

SHAMSI FANI AGNP-BC (NPI 1710470877) is an individual adult health provider in Goshen, New York, licensed in New York (308608) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710470877
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAMSI FANICredential: AGNP-BC
Location Address30 HATFIELD LN STE 107Goshen, NY 10924-6768
Mailing AddressPo Box 36363Newark, NJ 07188-6306 · (845) 651-1400
Fax(845) 294-2312
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1710470877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308608
Also ListedRegistered NurseTaxonomy 163W00000X · License 659429 (NY)
30 HATFIELD LN STE 107, Goshen, NY 10924

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamsi Fani Agnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658625991
PECOS Enrollment IDI20181126001825
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

2

Medicare enrollment records show Shamsi Fani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2 COATES DR
Goshen, NY 10924
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Horizon Medical Group PC
  • 98 clinicians in this Medicare group
Geriatric Medicine
1440 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 168 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 12

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services34 patients
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.
31 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
30 services29 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10924 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Shamsi Fani's NPI number?

The NPI number for Shamsi Fani is 1710470877. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Shamsi Fani located?

Shamsi Fani practices at 30 Hatfield Ln Ste 107, Goshen, NY 10924. The listed phone number is (845) 291-1260.

What is Shamsi Fani's specialty?

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

Is Shamsi Fani enrolled in Medicare?

Yes. Shamsi Fani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shamsi Fani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamsi Fani reassigns Medicare benefits to 2 organizations: Horizon Medical Group, P.C. (Goshen, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Shamsi Fani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shamsi Fani affiliated with any hospitals?

According to CMS data, Shamsi Fani is affiliated with Garnet Health Medical Center and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Shamsi Fani was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.