SHANNON ASHLEY MACKEY PA
NPI 1871216341
Surgery in New York, NY

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
530 E 72ND ST, NEW YORK, NY 10021(212) 717-8282(212) 717-9643 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Sep 20, 2022 (2 updates tracked since 2022).

About Shannon Ashley Mackey Pa NPPES

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

SHANNON ASHLEY MACKEY PA (NPI 1871216341) is an individual surgery provider in New York, New York, licensed in New York (029209) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871216341
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHANNON ASHLEY MACKEYCredential: PA
Location Address530 E 72ND STNew York, NY 10021-4855
Mailing Address530 E 72nd StNew York, NY 10021-4855 · (212) 717-8282
Fax(212) 717-9643
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2022
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1871216341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 029209
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 1508066705 (NY)
530 E 72ND ST, New York, NY 10021

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

Shannon Ashley Mackey Pa 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 ID8820459068
PECOS Enrollment IDI20230803001930
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 Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

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

Psychologist (Clinical)
530 E 72ND ST, PENTHOUSE C
NEW YORK, NY 10021

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 Shannon Mackey's NPI number?

The NPI number for Shannon Mackey is 1871216341. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Shannon Mackey located?

Shannon Mackey practices at 530 E 72nd St, New York, NY 10021. The listed phone number is (212) 717-8282.

What is Shannon Mackey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shannon Mackey enrolled in Medicare?

Yes. Shannon Mackey 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 Shannon Mackey affiliated with any hospitals?

According to CMS data, Shannon Mackey is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Mackey was last updated on May 24, 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.