Individual provider Active NPI

Shawn Anthony Durant

  • Adult Health Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1063259497
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311891 Issued in NY
Practice address
1 Columbia St Ste 200
Poughkeepsie, NY 12601-3924
Phone
(845) 473-1188
NPI assigned
Jul 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311891 NY Primary

Addresses

Primary practice location

1 Columbia St Ste 200
Poughkeepsie, NY 12601-3924

Mailing address

9 Prospect Hill Road Ext
Pine Plains, NY 12567-5307
Phone (845) 416-8673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224000374 NY Practitioner - Nurse Practitioner 9133649064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of the Hudson ValleyGroup PAC ID 2860384674, 24 clinicians

Practice addresses (Care Compare)

360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Hudson Valley CurrentSince Dec 1, 2025 Accepting new patients
Hudson Valley Cardiovascular Practice, PC CurrentSince Dec 21, 2024 Accepting new patients

Locations

360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

1 Columbia St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 473-1188

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Interoperability endpoints

  • Direct secure messaging: sdurant@mahv.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1063259497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROSPECT HILL ROAD EXT",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675307",
            "telephone_number": "845-416-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST STE 200",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013924",
            "telephone_number": "845-473-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.