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SHAHBANOO GHAFFARI ZANDI N.P
NPI 1962706804
Nurse Practitioner - Adult Health in Champlain, NY

Active since January 07, 2011PECOS Enrolled
481 ROUTE 11, CHAMPLAIN, NY 12919(518) 298-2691(518) 298-8241 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shahbanoo Ghaffari Zandi N.p NPPES

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

SHAHBANOO GHAFFARI ZANDI N.P (NPI 1962706804) is an individual adult health provider in Champlain, New York, licensed in New York (305524) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962706804
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAHBANOO GHAFFARI ZANDICredential: N.P
Location Address481 ROUTE 11Champlain, NY 12919-0000
Mailing Address74 Margaret StPlattsburgh, NY 12901-2925 · (518) 562-2369 · Fax (518) 562-2263
Phone(518) 298-2691
Fax(518) 298-8241
Sole ProprietorNo
Enumeration DateJanuary 7, 2011
Last NPPES UpdateDecember 13, 2016
✔ NPI 1962706804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 305524
481 ROUTE 11, Champlain, NY 12919
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahbanoo Ghaffari Zandi N.p 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shahbanoo Ghaffari Zandi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

In Health Family Medicine PC
20 mi
Family Medicine
96 COURT ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1841565686 (518) 562-2369
Heartlight Family Clinic, LLC
1,650 mi
Primary Care
1001 S PERRY ST STE 104B
Castle Rock, CO 80104
  • Reassigned Medicare billing, Colorado enrollment
  • 27 clinicians in this Medicare group
NPI 1639529738 (720) 485-3178

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12919 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.

Other Providers at the Same Location NPPES 2

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

JESSICA S KING DO
Family Medicine
481 ROUTE 11
CHAMPLAIN, NY 12919
Clinton County (518) 298-2691
MARILYN P MCCLURE FNP
Nurse Practitioner (Family)
481 ROUTE 11
CHAMPLAIN, NY 12919
Clinton County (518) 298-2691

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 Shahbanoo Ghaffari Zandi's NPI number?

The NPI number for Shahbanoo Ghaffari Zandi is 1962706804. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Shahbanoo Ghaffari Zandi located?

Shahbanoo Ghaffari Zandi practices at 481 Route 11, Champlain, NY 12919. The listed phone number is (518) 298-2691.

What is Shahbanoo Ghaffari Zandi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shahbanoo Ghaffari Zandi enrolled in Medicare?

Yes. Shahbanoo Ghaffari Zandi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shahbanoo Ghaffari Zandi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahbanoo Ghaffari Zandi reassigns Medicare benefits to 2 organizations: In Health Family Medicine PC (Plattsburgh, NY) and Heartlight Family Clinic, LLC (Castle Rock, CO). 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 Shahbanoo Ghaffari Zandi'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 Shahbanoo Ghaffari Zandi was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.