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SHIRLEY NELSON D.O.
NPI 1871654897
Family Medicine in Nanuet, NY

Active since December 13, 2006PECOS Enrolled
55 OLD NYACK TPKE STE 507, NANUET, NY 10954(845) 352-2899 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2024, Dec 11, 2018, Oct 26, 2018 (3 updates tracked since 2018).

About Shirley Nelson D.o. NPPES

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

SHIRLEY NELSON D.O. (NPI 1871654897) is an individual family medicine provider in Nanuet, New York, licensed in New York (200298) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1992).

NPPES Registry Identity

NPI1871654897
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHIRLEY NELSONCredential: D.O.
Location Address55 OLD NYACK TPKE STE 507Nanuet, NY 10954-2453
Mailing Address55 Old Nyack Tpke, Ste 507Nanuet, NY 10954-2453 · (845) 352-2899 · Fax (845) 352-2992
Phone(845) 352-2899
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1992
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1871654897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 200298
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 200298 (NY)
55 OLD NYACK TPKE STE 507, Nanuet, NY 10954
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Other Identifiers 2

Medicaid1073992285NY
Medicaid01858819NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Nelson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890687156
PECOS Enrollment IDI20040330000205
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shirley Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shirley Nelson Do PC
Same address
Primary Care
55 OLD NYACK TPKE, SUITE 507
Nanuet, NY 10954
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1073992285 (845) 352-2899
Visiting Services, LLC
1.6 mi
Primary Care
240 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
NPI 1083241392 (845) 374-0410
Gramercy Medical Services P.C.
30 mi
Internal Medicine
13916 91ST AVE
Jamaica, NY 11435
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Gramercy Medical Services PC
  • 21 clinicians in this Medicare group
NPI 1639678428 (917) 854-6670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services48 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
101 services37 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
98 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
56 services18 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
48 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10954 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%151 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
11%121 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
22%94 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
11%47 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%133 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims36 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims12 services$1.15 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shirley Nelson's NPI number?

The NPI number for Shirley Nelson is 1871654897. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Shirley Nelson located?

Shirley Nelson practices at 55 Old Nyack Tpke Ste 507, Nanuet, NY 10954. The listed phone number is (845) 352-2899.

What is Shirley Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shirley Nelson enrolled in Medicare?

Yes. Shirley Nelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shirley Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Nelson reassigns Medicare benefits to 3 organizations: Shirley Nelson Do PC (Nanuet, NY), Visiting Services, LLC (Spring Valley, NY) and Gramercy Medical Services P.C. (Jamaica, NY). Each 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 Shirley Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Nelson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.