SHILA PANDEY DNP
NPI 1730630336
Nurse Practitioner - Adult Health in New York, NY

Q: What is Shila Pandey's NPI number?

The NPI number for Shila Pandey is 1730630336. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Q: What is Shila Pandey'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 Shila Pandey was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 October 18, 2016PECOS EnrolledAccepts Medicare Assignment

96.78/100

CMS Quality Rating

1275 YORK AVE, NEW YORK, NY 10065(201) 639-7398 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2024, Nov 5, 2018, Jan 25, 2017 and 1 more (4 updates tracked since 2016).

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About Shila Pandey Dnp NPPES

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

SHILA PANDEY DNP (NPI 1730630336) is an individual adult health provider in New York, New York, licensed in New York (308003) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730630336

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHILA PANDEYCredential: DNP

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address2787 John F Kennedy Blvd Apt 406Jersey City, NJ 07306-5562

Phone(201) 639-7398

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 18, 2016

Last NPPES UpdateNovember 16, 20244 updates tracked since enumeration

NPPES CertifiedNovember 16, 2024

✔ NPI 1730630336 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 · 308003

1275 YORK AVE, New York, NY 10065

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Secondary Practice Location 1

Location 1161 Fort Washington Ave, Suite 37/38New York, NY 10032-3729 · Phone (646) 942-7441

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

Shila Pandey Dnp 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 ID941584023

PECOS Enrollment IDI20221025000328

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.

Areas of Expertise CMS Part B claims 4

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.

102 services36 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

50 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 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.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

96.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.8

Improvement Activities

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.

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