Active NPI
Jeannelle M Shaver, RPA
- Physician Assistant
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007337
- Practice address
- 102 Park Street Pryun Pavilioin at Glens Falls Hospital
The Vascular Group PLLC
Glens Falls, NY 12801 - Phone
- (518) 792-7122
- Fax
- (518) 792-3800
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007337 | NY | Primary |
Addresses
Primary practice location
102 Park Street Pryun Pavilioin at Glens Falls Hospital
The Vascular Group PLLC
Glens Falls, NY 12801
Mailing address
391 Myrtle Ave Ste 5
Albany, NY 12208-3797
Phone (518) 262-5640
Other practice location 1
3 Care Ln
Saratoga Springs, NY 12866-8639
Phone (518) 792-7122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02341202 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000
211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 262-9600
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
Hospital & facility affiliations
- Glens Falls Hospital
- Saratoga Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Physician Assistant | Current | Accepting new patients |
| Albany Medical College | Physician Assistant | Current | Accepting new patients |
| Albany Medical College | Physician Assistant | Current | Accepting new patients |
Locations
47 New Scotland Ave
#157
Albany, NY 12208
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773
391 Myrtle Ave
Ste 5
Albany, NY 12208
Phone (518) 262-7240
7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060
102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601
117 Marys Ave
Kingston, NY 12401
Phone (845) 331-3131
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
377 Church St
Saratoga Springs, NY 12866
Phone (518) 203-2582
Interoperability endpoints
- jshaver34015@albanymed.direct-ci.com
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225007347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 MYRTLE AVE STE 5",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083797",
"telephone_number": "518-262-5640",
"fax_number": "518-262-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK STREET PRYUN PAVILIOIN AT GLENS FALLS HOSPITAL",
"address_2": "THE VASCULAR GROUP PLLC",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-792-7122",
"fax_number": "518-792-3800"
}
],
"practiceLocations": [
{
"address_1": "3 Care Ln",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "NY",
"postal_code": "128668639",
"country_code": "US",
"telephone_number": "518-792-7122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAVER",
"first_name": "JEANNELLE",
"middle_name": "M",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02341202",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.