JENNIFER LYNN SHULL NP
NPI 1780235622
Nurse Practitioner - Pediatrics in Malone, NY
About Jennifer Lynn Shull Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LYNN SHULL NP (NPI 1780235622) is an individual pediatrics provider in Malone, New York, licensed in New York (383051) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lynn Shull Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Shull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Malone, NY 12953
- Reassigned Medicare billing, New York enrollment
- 326 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Shull's NPI number?
The NPI number for Jennifer Shull is 1780235622. It was assigned to this individual provider in the NPPES registry on September 23, 2019.
Where is Jennifer Shull located?
Jennifer Shull practices at 183 Park St, Malone, NY 12953. The listed phone number is (518) 481-2600.
What is Jennifer Shull's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jennifer Shull enrolled in Medicare?
Yes. Jennifer Shull is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Shull's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Shull reassigns Medicare benefits to Alice Hyde Medical Center (Malone, NY). The 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 Jennifer Shull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Shull accept?
Health plans from AmeriHealth Caritas Next list Jennifer Shull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Shull was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jennifer Lynn Shull, NP · NPI 1780235622
Pediatrics physician in Malone, New York. Individual provider, active in the CMS NPPES registry since September 23, 2019.
## Identity
- **NPI:** 1780235622 (Entity type: Individual)
- **Enumerated:** September 23, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 383051 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 183 PARK ST, Malone, NY 12953-1242
- **Phone:** (518) 481-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alice Hyde Medical Center (NPI 1114954682, Malone, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780235622) · Data from the CMS NPPES public registry.