Individual provider Active NPI

Shantel Valentin, FNP-BC

  • Family Nurse Practitioner
  • Elmsford, NY
National Provider Identifier
1073274874
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348832 Issued in NY
Practice address
555 Taxter Rd
Elmsford, NY 10523-2336
Phone
(718) 536-4121
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348832 NY Primary

Addresses

Primary practice location

555 Taxter Rd
Elmsford, NY 10523-2336

Mailing address

555 Taxter Rd FL 3
Elmsford, NY 10523-2336
Phone (212) 803-3339

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
I20230413000979 NY Practitioner - Nurse Practitioner 5991170599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

225 E 70TH St
Suite 1E
New York, NY 10021-5213
Phone (212) 803-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348832NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fuse Medical PLLC CurrentSince Feb 21, 2023 Accepting new patients
Mission Medical Care PC Family CurrentSince Jan 16, 2024 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

555 Taxter Rd
Fl 3
Elmsford, NY 10523
Phone (914) 457-4130

333 E Shore Rd
Ste 201
Manhasset, NY 11030
Phone (516) 829-3044

175 Memorial Hwy
Ste 1-1
New Rochelle, NY 10801
Phone (914) 235-3535

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1073274874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TAXTER RD FL 3",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232336",
            "telephone_number": "212-803-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TAXTER RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232336",
            "telephone_number": "718-536-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "SHANTEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

Verify at the official NPI Registry.