Individual provider Active NPI

Elizabeth Mary Shenk, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1265954259
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342763 Issued in NY
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

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
342763OtherNYFAMILY NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, NC, AK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210614000123 NY Practitioner - Nurse Practitioner 6800296880 Reassigns benefits to 5 organizations
I20231208002983 VA Practitioner - Nurse Practitioner 6800296880 Reassigns benefits to 1 organization
I20240123002393 NC Practitioner - Nurse Practitioner 6800296880 Reassigns benefits to 1 organization
I20250620003562 AK Practitioner - Nurse Practitioner 6800296880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702298NYMDEmergency Registered Nurse
342763NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC CurrentSince Apr 1, 2021 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
New York Medical Physician Associates PC CurrentSince Jun 17, 2024 Accepting new patients
Norton Sound Health Corporation CurrentSince May 12, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince May 12, 2025 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Oct 23, 2023 Accepting new patients
New York Medical Physician Associates PC CurrentSince Jun 17, 2024 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
MVHS Inc CurrentSince Oct 30, 2023 Accepting new patients
Apogee Medical Group North Carolina CurrentSince Jan 1, 2024 Accepting new patients
Critical Care Physician of New York PC CurrentSince Apr 18, 2023 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Sep 20, 2021 Accepting new patients
MVHS Inc CurrentSince Oct 30, 2023 Accepting new patients
Brookhaven Memorial Hospital Medical Center CurrentSince Sep 20, 2021 Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Oct 23, 2023 Accepting new patients

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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.