SHANELLE TASHAE GRAHAM PA-C
NPI 1972027092
Physician Assistant - Medical in Oceanside, NY
About Shanelle Tashae Graham Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANELLE TASHAE GRAHAM PA-C (NPI 1972027092) is an individual medical provider in Oceanside, New York, licensed in New York (20801) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Shanelle Tashae Graham Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai South Nassau
Acute Care Hospitals · Oceanside, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
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 Shanelle Graham's NPI number?
The NPI number for Shanelle Graham is 1972027092. It was assigned to this individual provider in the NPPES registry on July 31, 2017.
Where is Shanelle Graham located?
Shanelle Graham practices at 1 Healthy Way, Oceanside, NY 11572. The listed phone number is (516) 632-3000.
What is Shanelle Graham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shanelle Graham enrolled in Medicare?
Yes. Shanelle Graham 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 Shanelle Graham affiliated with any hospitals?
According to CMS data, Shanelle Graham is affiliated with Mount Sinai South Nassau.
When was this NPI record last updated?
The NPPES record for Shanelle Graham was last updated on July 31, 2017. 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.
# Shanelle Tashae Graham, PA-C · NPI 1972027092
Medical physician in Oceanside, New York. Individual provider, active in the CMS NPPES registry since July 31, 2017.
## Identity
- **NPI:** 1972027092 (Entity type: Individual)
- **Enumerated:** July 31, 2017
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 20801 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HEALTHY WAY, Oceanside, NY 11572-1551
- **Phone:** (516) 632-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 31, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1972027092) · Data from the CMS NPPES public registry.