MS. SHAUNA MARIE NIEMEIER R.N.
NPI 1790135770
Nurse Practitioner - Family in New York, NY

Active since June 21, 2016PECOS Enrolled
632 BROADWAY, PH, NEW YORK, NY 10012(347) 294-3414 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2022, Jan 31, 2022, Feb 14, 2018 and 1 more (4 updates tracked since 2016).

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

NPI1790135770
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHAUNA MARIE NIEMEIERCredential: R.N.
Location Address632 BROADWAY, PHNew York, NY 10012-2614
Mailing Address632 Broadway, PhNew York, NY 10012-2614 · (347) 294-3414
Sole ProprietorYes
Enumeration DateJune 21, 2016
Last NPPES UpdateAugust 1, 20224 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1790135770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95008544 Licensed in NY · 341661
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR18309100 (NJ), 701868-1 (NY)
632 BROADWAY, New York, NY 10012

Secondary Practice Location 1

Location 12 Embarcadero Ctr Lbby LevelSan Francisco, CA 94111-3823 · Phone (415) 291-0480 · Fax (415) 291-0489

Medicare Participation & PECOS CMS

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

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).

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 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.

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.

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.

Family Medicine (Sports Medicine)
632 BROADWAY, SUITE 303
NEW YORK, NY 10012
Physical Therapist
632 BROADWAY
NEW YORK, NY 10012
Chiropractor (Rehabilitation)
632 BROADWAY
NEW YORK, NY 10012
Physical Therapist
632 BROADWAY, STE 303
NEW YORK, NY 10012
Chiropractor
632 BROADWAY, STE. 303
NEW YORK, NY 10012
Chiropractor (Rehabilitation)
632 BROADWAY, STE. 303
NEW YORK, NY 10012
Chiropractor
632 BROADWAY, STE 303
NEW YORK, NY 10012
Internal Medicine
632 BROADWAY, SUITE PH
NEW YORK, NY 10012

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.

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.