SHANAVA GEDEON LPN
NPI 1740524784
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Q: What is Shanava Gedeon's NPI number?

The NPI number for Shanava Gedeon is 1740524784. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Shanava Gedeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shanava Gedeon was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 15, 2012PECOS EnrolledAccepts Medicare Assignment

2054 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shanava Gedeon Lpn NPPES

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

SHANAVA GEDEON LPN (NPI 1740524784) is an individual psychiatric/mental health provider in Bronx, New York, licensed in Connecticut (14687) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740524784

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANAVA GEDEONCredential: LPN

Location Address2054 TILLOTSON AVEBronx, NY 10475-1560

Mailing Address2054 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100

Phone(718) 671-2100

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 15, 2012

Last NPPES UpdateMay 20, 2025

NPPES CertifiedMay 20, 2025

✔ NPI 1740524784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 14687

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 311730 (NY)

2054 TILLOTSON AVE, Bronx, NY 10475

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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

Shanava Gedeon Lpn 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 ID9436676962

PECOS Enrollment IDI20250508001087

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10475 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.

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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.

MARIETTA OMO-IKIRODAH LPN

Licensed Practical Nurse