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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lynn Shull Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 6 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
## Record status
- **NPPES last updated:** September 23, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1780235622) · Data from the CMS NPPES public registry.