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SHENANDOAH PUTNEY DOLE AGPCNP-C
NPI 1861089039
Nurse Practitioner - Adult Health in Warsaw, NY

Active since December 22, 2020PECOS Enrolled
81 S MAIN ST, WARSAW, NY 14569(585) 228-1195(585) 185-2067 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2023, Dec 22, 2020 (2 updates tracked since 2020).

About Shenandoah Putney Dole Agpcnp-c NPPES

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

SHENANDOAH PUTNEY DOLE AGPCNP-C (NPI 1861089039) is an individual adult health provider in Warsaw, New York, licensed in New York (F310068) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861089039
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHENANDOAH PUTNEY DOLECredential: AGPCNP-C
Location Address81 S MAIN STWarsaw, NY 14569-1571
Mailing Address4247 Silver Springs RdSilver Springs, NY 14550-9702 · (585) 519-2859
Phone(585) 228-1195
Fax(585) 185-2067
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2020
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1861089039 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 · F310068
81 S MAIN ST, Warsaw, NY 14569
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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)

Shenandoah Putney Dole Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466857826
PECOS Enrollment IDI20210823002392
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 14569 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL NOZZI D.D.S.
Dentist
81 S MAIN ST
WARSAW, NY 14569
Wyoming County (585) 228-1195
LISA HARTMAN RDH
Dental Hygienist
81 S MAIN ST
WARSAW, NY 14569
Wyoming County (585) 637-3905
MARINA SKROMBOLAS DDS
Dentist (General Practice)
81 S MAIN ST
WARSAW, NY 14569
Wyoming County (585) 228-1195

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 Shenandoah Dole's NPI number?

The NPI number for Shenandoah Dole is 1861089039. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Shenandoah Dole located?

Shenandoah Dole practices at 81 S Main St, Warsaw, NY 14569. The listed phone number is (585) 228-1195.

What is Shenandoah Dole's specialty?

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

Is Shenandoah Dole enrolled in Medicare?

Yes. Shenandoah Dole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shenandoah Dole was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.