Active NPI
Shannon Nye, PA
- Gynecology Physician
- Wellsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 032957
- Practice address
- 191 N Main St
Wellsville, NY 14895-1150 - Phone
- (585) 593-1100
- NPI assigned
- Feb 9, 2023
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 032957 | NY | Primary |
Addresses
Primary practice location
191 N Main St
Wellsville, NY 14895-1150
Mailing address
35 Herman Ave
Wellsville, NY 14895-9513
Phone (585) 610-8009
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 N Main St
Wellsville, NY 14895-1149
Phone (585) 596-0145
Hospital & facility affiliations
- Jones Memorial Hospital
- St James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032957 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
7309 Seneca Rd N
Ste 114
Hornell, NY 14843
Phone (607) 324-0604
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Interoperability endpoints
- snye227764@direct.urmc.rochester.edu
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Rural Health Clinic/Center
- Hornell, NY
- NPI 1457974644
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1356048441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HERMAN AVE",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148959513",
"telephone_number": "585-610-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 N MAIN ST",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148951150",
"telephone_number": "585-593-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE",
"first_name": "SHANNON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "032957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.