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SHINELLE BURGESS
NPI 1730787631
Nurse Practitioner - Gerontology in Bay Shore, NY

Active since October 13, 2020PECOS Enrolled
287 N 3RD AVE, BAY SHORE, NY 11706(516) 610-8980 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2026, Oct 13, 2020 (2 updates tracked since 2020).

About Shinelle Burgess NPPES

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

SHINELLE BURGESS (NPI 1730787631) is an individual gerontology provider in Bay Shore, New York, licensed in New York (F311640-01) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730787631
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHINELLE BURGESS
Location Address287 N 3RD AVEBay Shore, NY 11706-4109
Mailing Address287 N 3rd AveBay Shore, NY 11706-4109 · (516) 610-8980
Phone(516) 610-8980
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 13, 2020
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1730787631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · F311640-01
287 N 3RD AVE, Bay Shore, NY 11706
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shinelle Burgess is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294215166
PECOS Enrollment IDI20260218003047
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 Shinelle Burgess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renew Medical Of New York, PLLC
40 mi
Internal Medicine
7202 FORT HAMILTON PKWY
Brooklyn, NY 11228
  • Reassigned Medicare billing, New York enrollment
  • 44 clinicians in this Medicare group
NPI 1356979447 (929) 491-7700
Klein Medical Services
49 mi
Anesthesiology
3930 RICHMOND AVE STE 104
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1609665207 (718) 957-1342

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 11706 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.

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 Shinelle Burgess's NPI number?

The NPI number for Shinelle Burgess is 1730787631. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Shinelle Burgess located?

Shinelle Burgess practices at 287 N 3rd Ave, Bay Shore, NY 11706. The listed phone number is (516) 610-8980.

What is Shinelle Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shinelle Burgess enrolled in Medicare?

Yes. Shinelle Burgess is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shinelle Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shinelle Burgess reassigns Medicare benefits to 2 organizations: Renew Medical Of New York, PLLC (Brooklyn, NY) and Klein Medical Services (Staten Island, 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 Shinelle Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shinelle Burgess was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.