Active NPI
Elizabeth Mary Shenk, NP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342763
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 590-1800
- NPI assigned
- Jul 11, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 702298 | NY | |
| Family Nurse Practitioner | 363LF0000X | 10887 | CT | |
| Family Nurse Practitioner | 363LF0000X | 342763 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
235 W 48TH St Apt 22L
New York, NY 10036-1426
Other practice location 1
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342763 | Other | NY | FAMILY NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, NC, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Quality
- 88.12
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702298 | NY | MD | Emergency Registered Nurse |
| 342763 | NY | MD | Family Nurse Practitioner |
Practice roles
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000
4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234
Interoperability endpoints
- eshenk1608943@nychhc.direct-ci.com
Organizations & group practices 15
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Patchogue, NY
- NPI 1417232760
-
- Critical Care Medicine (Internal Medicine) Physician
- Newburgh, NY
- NPI 1316293954
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
-
- Recovery Care Clinic/Center
- Patchogue, NY
- NPI 1598945735
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shirley, NY
- NPI 1902029796
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1265954259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W 48TH ST APT 22L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100361426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-590-1800"
}
],
"practiceLocations": [
{
"address_1": "320 Pomfret St",
"address_purpose": "LOCATION",
"city": "Putnam",
"state": "CT",
"postal_code": "062601836",
"country_code": "US",
"telephone_number": "860-928-6541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHENK",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "702298",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "10887",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "342763",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.