MS. SHAUNA MARIE NIEMEIER R.N.
NPI 1790135770
Nurse Practitioner - Family in New York, NY
About Ms. Shauna Marie Niemeier R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHAUNA MARIE NIEMEIER R.N. (NPI 1790135770) is an individual family provider in New York, New York, licensed in California (95008544) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Ms. Shauna Marie Niemeier R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shauna Niemeier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 461 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 10012 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 14
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 Shauna Niemeier's NPI number?
The NPI number for Shauna Niemeier is 1790135770. It was assigned to this individual provider in the NPPES registry on June 21, 2016.
Where is Shauna Niemeier located?
Shauna Niemeier practices at 632 Broadway Ph, New York, NY 10012. The listed phone number is (347) 294-3414.
What is Shauna Niemeier's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shauna Niemeier enrolled in Medicare?
Yes. Shauna Niemeier is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shauna Niemeier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Niemeier reassigns Medicare benefits to Providence Saint Johns Medical Foundation (Santa Monica, CA). 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 Shauna Niemeier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shauna Niemeier accept?
Health plans from Oscar Health list Shauna Niemeier 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 Shauna Niemeier was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Shauna Marie Niemeier, R.N. · NPI 1790135770
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 21, 2016.
## Identity
- **NPI:** 1790135770 (Entity type: Individual)
- **Enumerated:** June 21, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95008544 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 632 BROADWAY, PH, New York, NY 10012-2614
- **Phone:** (347) 294-3414
## 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:** Providence Saint Johns Medical Foundation (NPI 1770093734, Santa Monica, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790135770) · Data from the CMS NPPES public registry.