LAUREL J SHAMBO PA
NPI 1871881649
Physician Assistant in Webster, NY

Active since July 14, 2011PECOS EnrolledAccepts Medicare Assignment
1065 RIDGE RD, WEBSTER, NY 14580(585) 872-2273 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel J Shambo Pa NPPES

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

LAUREL J SHAMBO PA (NPI 1871881649) is an individual physician assistant in Webster, New York, licensed in New York (015328) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Copenhagen.

NPPES Registry Identity

NPI1871881649
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREL J SHAMBOCredential: PA
Location Address1065 RIDGE RDWebster, NY 14580-2952
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2011
Enumeration DateJuly 14, 2011
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1871881649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 015328 Licensed in NY · P80534
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1065 RIDGE RD, Webster, NY 14580

Secondary Practice Location 1

Location 19732 State Route 12Copenhagen, NY 13626-2906 · Phone (315) 688-2305

Other Identifiers 1

Medicaid03417452NY

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

Laurel J Shambo 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 ID9830356971
PECOS Enrollment IDI20120201000718
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.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14580 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 8

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

Physician Assistant
1065 RIDGE RD
WEBSTER, NY 14580
Physician Assistant
1065 RIDGE RD
WEBSTER, NY 14580
Nurse Practitioner (Family)
1065 RIDGE RD
WEBSTER, NY 14580
Physician Assistant
1065 RIDGE RD
WEBSTER, NY 14580
Nurse Practitioner (Family)
1065 RIDGE RD
WEBSTER, NY 14580
Nurse Practitioner (Family)
1065 RIDGE RD
WEBSTER, NY 14580
Physician Assistant
1065 RIDGE RD
WEBSTER, NY 14580
Nurse Practitioner (Family)
1065 RIDGE RD
WEBSTER, NY 14580

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 Laurel Shambo's NPI number?

The NPI number for Laurel Shambo is 1871881649. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Laurel Shambo located?

Laurel Shambo practices at 1065 Ridge Rd, Webster, NY 14580. The listed phone number is (585) 872-2273.

What is Laurel Shambo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laurel Shambo enrolled in Medicare?

Yes. Laurel Shambo 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 Laurel Shambo affiliated with any hospitals?

According to CMS data, Laurel Shambo is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Laurel Shambo was last updated on July 8, 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.