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SHAVONN CRYSTAL STALLINGS NP
NPI 1790028090
Nurse Practitioner - Adult Health in New York, NY

Active since April 04, 2013PECOS Enrolled
1000 10TH AVE STE 1A-69, NEW YORK, NY 10019(212) 523-6424(212) 523-6427 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2019, Dec 12, 2015 (2 updates tracked since 2015).

About Shavonn Crystal Stallings Np NPPES

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

SHAVONN CRYSTAL STALLINGS NP (NPI 1790028090) is an individual adult health provider in New York, New York, licensed in New York (F305276-1) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790028090
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAVONN CRYSTAL STALLINGSCredential: NP
Location Address1000 10TH AVE STE 1A-69New York, NY 10019-1147
Mailing Address1111 Amsterdam Ave, Scrymser 3rd FloorNew York, NY 10025-1716 · (212) 523-6500 · Fax (212) 523-5677
Phone(212) 523-6424
Fax(212) 523-6427
Sole ProprietorYes
Enumeration DateApril 4, 2013
Last NPPES UpdateJanuary 29, 20192 updates tracked since enumeration
✔ NPI 1790028090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305276-1
1000 10TH AVE STE 1A-69, New York, NY 10019
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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 (PECOS)

Shavonn Crystal Stallings Np 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 10019 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Shavonn Stallings's NPI number?

The NPI number for Shavonn Stallings is 1790028090. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Shavonn Stallings located?

Shavonn Stallings practices at 1000 10th Ave Ste 1a-69, New York, NY 10019. The listed phone number is (212) 523-6424.

What is Shavonn Stallings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shavonn Stallings enrolled in Medicare?

Yes. Shavonn Stallings is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shavonn Stallings was last updated on January 29, 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.