SHELBY DANIELLE ALEXA-DIZARD CNM/WHNP, RN
NPI 1770141616
Nurse Practitioner - Women's Health in Newburgh, NY

Q: What is Shelby Alexa-dizard's NPI number?

The NPI number for Shelby Alexa-dizard is 1770141616. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Shelby Danielle Alexa.

Q: What is Shelby Alexa-dizard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since June 05, 2019PECOS Enrolled

136 LAKE ST STE 11, NEWBURGH, NY 12550(845) 562-7800 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 5, 2019 (2 updates tracked since 2019).

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About Shelby Danielle Alexa-dizard Cnm/whnp, Rn NPPES

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

SHELBY DANIELLE ALEXA-DIZARD CNM/WHNP, RN (NPI 1770141616) is an individual women's health provider in Newburgh, New York, licensed in New York (421498) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770141616

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameSHELBY DANIELLE ALEXA-DIZARDCredential: CNM/WHNP, RN

Location Address136 LAKE ST STE 11Newburgh, NY 12550-5245

Mailing Address86 Sheridan RdScarsdale, NY 10583-1553 · (734) 972-7686

Phone(845) 562-7800

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2024

✔ NPI 1770141616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NY · 421498

Also ListedRegistered NurseTaxonomy 163W00000X · License 685729 (NY)

Also ListedMidwifeTaxonomy 176B00000X · License F001920 (NY)

136 LAKE ST STE 11, Newburgh, NY 12550

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Other Names 1

Former Name (1)Shelby Danielle Alexa

Other Identifiers 2

Other001920NY · Cnm

Other421498NY · Whnp License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Danielle Alexa-dizard Cnm/whnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12550 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.

Other Providers at the Same Location NPPES

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

EMILY MCDOWELL RN

Registered Nurse

136 LAKE ST STE 11
NEWBURGH, NY 12550

Orange County (845) 562-7800

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 Shelby Alexa-dizard's NPI number?

The NPI number for Shelby Alexa-dizard is 1770141616. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Shelby Danielle Alexa.

Where is Shelby Alexa-dizard located?

Shelby Alexa-dizard practices at 136 Lake St Ste 11, Newburgh, NY 12550. The listed phone number is (845) 562-7800.

What is Shelby Alexa-dizard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shelby Alexa-dizard enrolled in Medicare?

Yes. Shelby Alexa-dizard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Alexa-dizard was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.