Individual provider Active NPI

Shana Talitha Orosco

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmsford, NY
National Provider Identifier
1508680752
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14153 Issued in CT
Practice address
31202 Town Green Dr
Elmsford, NY 10523-1696
Phone
(860) 869-6383
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14153 CT Primary

Addresses

Primary practice location

31202 Town Green Dr
Elmsford, NY 10523-1696

Mailing address

31202 Town Green Dr
Elmsford, NY 10523-1696
Phone (860) 869-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250224000011 CT Practitioner - Nurse Practitioner 8022538941 Reassigns benefits to 2 organizations
I20260213002365 NY Practitioner - Nurse Practitioner 8022538941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14153CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South-West Community Health Center, Inc CurrentSince Jan 27, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 6, 2026 Accepting new patients
Step Up Care PC LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

968 Fairfield Ave
Bridgeport, CT 06605

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

Interoperability endpoints

  • Direct secure messaging: sorosco764927@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1508680752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31202 TOWN GREEN DR",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231696",
            "telephone_number": "860-869-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31202 TOWN GREEN DR",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231696",
            "telephone_number": "860-869-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROSCO",
        "first_name": "SHANA",
        "middle_name": "TALITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

Verify at the official NPI Registry.