Individual provider Active NPI

Nichole Shene, FNP

  • Primary Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1225763170
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F350325 Issued in NY
Practice address
12 W 48TH St FL 2
New York, NY 10036-1834
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 22, 2022
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350325 NY
Primary Care Nurse Practitioner 363LP2300X F350325 NY Primary

Addresses

Primary practice location

12 W 48TH St FL 2
New York, NY 10036-1834

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

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
I20221103003266 NY Practitioner - Nurse Practitioner 3779950779 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350325NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
One Medical of Ny, P.C. CurrentSince Jan 12, 2026 Accepting new patients
Charles B. Wang Community Health Center, Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

111 E 210th St
Bronx, NY 10467

12 W 48th St
Fl 2
New York, NY 10036
Phone (212) 321-7004

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

Interoperability endpoints

  • Direct secure messaging: nshene@1120.direct.myezyaccess.com
  • Direct secure messaging: nshene361937@bassett.direct-ci.net
  • Direct secure messaging: nshene787855@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1225763170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 48TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361834",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENE",
        "first_name": "NICHOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350325",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F350325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.