SHANE MARIE HARRIS NP
NPI 1841518834
Nurse Practitioner - Adult Health in Bay Shore, NY

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment
1745 UNION BLVD, BAY SHORE, NY 11706(631) 323-4355 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2025, Jun 25, 2025, Mar 4, 2025 (3 updates tracked since 2025).

About Shane Marie Harris Np NPPES

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

SHANE MARIE HARRIS NP (NPI 1841518834) is an individual adult health provider in Bay Shore, New York, licensed in New York (312322) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains a secondary practice location in Smithtown.

NPPES Registry Identity

NPI1841518834
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANE MARIE HARRISCredential: NP
Location Address1745 UNION BLVDBay Shore, NY 11706-7952
Mailing Address1745 Union BlvdBay Shore, NY 11706-7952 · (631) 323-4355
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 14, 2010
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1841518834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 312322
Also ListedRegistered NurseTaxonomy 163W00000X · License 652556 (NY)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 291707-1 (NY)
1745 UNION BLVD, Bay Shore, NY 11706

Secondary Practice Location 1

Location 114 Bellemeade AveSmithtown, NY 11787-1857 · Phone (631) 289-0600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Marie Harris Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234644352
PECOS Enrollment IDI20260113001100
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Dentist (General Practice)
1745 UNION BLVD
BAY SHORE, NY 11706
Dentist (General Practice)
1745 UNION BLVD
BAY SHORE, NY 11706
Dentist
1745 UNION BLVD
BAY SHORE, NY 11706
Physician Assistant
1745 UNION BLVD
BAY SHORE, NY 11706
Nurse Practitioner (Adult Health)
1745 UNION BLVD
BAY SHORE, NY 11706
Family Medicine
1745 UNION BLVD
BAY SHORE, NY 11706
Nurse Practitioner (Adult Health)
1745 UNION BLVD
BAY SHORE, NY 11706
Physician Assistant
1745 UNION BLVD
BAY SHORE, NY 11706

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 Shane Harris's NPI number?

The NPI number for Shane Harris is 1841518834. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Shane Harris located?

Shane Harris practices at 1745 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 323-4355.

What is Shane Harris's specialty?

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

Is Shane Harris enrolled in Medicare?

Yes. Shane Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shane Harris affiliated with any hospitals?

According to CMS data, Shane Harris is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Shane Harris was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.