MRS. SHELLY LYNN PETERS PMHNP-BC
NPI 1942754015
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Q: What is Shelly Peters's NPI number?

The NPI number for Shelly Peters is 1942754015. It was assigned to this individual provider in the NPPES registry on August 6, 2016. The provider is also known as Shelly Lynn Pangburn.

Q: What is Shelly Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Peters was last updated on February 16, 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.

Active since August 06, 2016PECOS Enrolled

324 UNIVERSITY AVE FL 3, SYRACUSE, NY 13210(315) 362-2540(315) 361-1786 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 20, 2023, Mar 13, 2019, Nov 5, 2018 and 1 more (4 updates tracked since 2016).

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About Mrs. Shelly Lynn Peters Pmhnp-bc NPPES

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

MRS. SHELLY LYNN PETERS PMHNP-BC (NPI 1942754015) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (402033) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942754015

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. SHELLY LYNN PETERSCredential: PMHNP-BC

Location Address324 UNIVERSITY AVE FL 3Syracuse, NY 13210-1811

Mailing Address324 University Ave Fl 3Syracuse, NY 13210-1811 · (315) 362-2540 · Fax (315) 671-1786

Phone(315) 362-2540

Fax(315) 361-1786

Sole ProprietorYes

Enumeration DateAugust 6, 2016

Last NPPES UpdateFebruary 16, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2024

✔ NPI 1942754015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 402033

Also ListedNurse PractitionerTaxonomy 363L00000X · License 402033 (NY)

324 UNIVERSITY AVE FL 3, Syracuse, NY 13210

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Other Names 1

Former Name (1)Shelly Lynn Pangburn

Other Identifiers 1

Medicaid04532216NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shelly Lynn Peters Pmhnp-bc 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 13210 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.

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 Shelly Peters's NPI number?

The NPI number for Shelly Peters is 1942754015. It was assigned to this individual provider in the NPPES registry on August 6, 2016. The provider is also known as Shelly Lynn Pangburn.

Where is Shelly Peters located?

Shelly Peters practices at 324 University Ave Fl 3, Syracuse, NY 13210. The listed phone number is (315) 362-2540.

What is Shelly Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelly Peters enrolled in Medicare?

Yes. Shelly Peters is registered in the Medicare PECOS enrollment system.

What insurance does Shelly Peters accept?

Health plans from Providence Health Plan list Shelly Peters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Peters was last updated on February 16, 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.