Johannah Shortle

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

341858 Issued in NY

Practice address

4435 Seneca Rd
Trumansburg, NY 14886-9201

Phone

(607) 387-5707

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment Care Compare group NPD
• Cma Medical Practice PLLC

  dba Emergency Medicine Associates of Cayuga PLLC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1962985564
  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Internal Medicine Physician
  • Montour Falls, NY
  • NPI 1760582142
  Medicare reassignment NPD
• Trumansburg Medicine PLLC

  dba Trumansburg Family Health Center

  • Family Medicine Physician
  • Trumansburg, NY
  • NPI 1528056942
  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Montour Falls, NY
  • NPI 1740364181
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1336664655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 RIDGE RD APT B4",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTLE",
        "first_name": "JOHANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "341858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Rosenthal
• Alexis Enrico Santi, LCSW
• Amelia Sauter
• Linda L Schutt, LM CM CPM
• Sara Seifert, RN
• Matthew Phillip Simone, FNP
• Whitney Simone, MD
• Kelsey A. Skerpan, MA, LMHC, ATR-BC
• Sophany Soeung
• Kerri Stopinski, PT

• Nurse Practitioner in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.

Verify at the official NPI Registry.