TARA SHELLEY
NPI 1902412463
Physician Assistant in White Plains, NY

Active since September 21, 2020PECOS Enrolled
76.52/100
CMS Quality Rating
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604(914) 682-6532(914) 681-5260 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2024, Nov 7, 2023, Sep 21, 2020 (3 updates tracked since 2020).

About Tara Shelley NPPES

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

TARA SHELLEY (NPI 1902412463) is an individual physician assistant in White Plains, New York, licensed in New York (025548) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902412463
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA SHELLEY
Location Address210 WESTCHESTER AVEWhite Plains, NY 10604-2901
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635 · Fax (914) 457-1195
Fax(914) 681-5260
Sole ProprietorYes
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1902412463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 025548
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.

210 WESTCHESTER AVE, White Plains, NY 10604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Shelley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10604 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 20

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

Anesthesiology
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Physician Assistant
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Technician/Technologist (Optician)
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Technician/Technologist (Ophthalmic)
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Dentist (General Practice)
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Pharmacist
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Pharmacist
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Radiology (Diagnostic Radiology)
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604

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 Tara Shelley's NPI number?

The NPI number for Tara Shelley is 1902412463. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Tara Shelley located?

Tara Shelley practices at 210 Westchester Ave, White Plains, NY 10604. The listed phone number is (914) 682-6532.

What is Tara Shelley's specialty?

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

Is Tara Shelley enrolled in Medicare?

Yes. Tara Shelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Shelley was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.