Individual provider Active NPI

Shirnette Chin, FNP-C

  • Family Nurse Practitioner
  • New City, NY
National Provider Identifier
1669195095
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349344-01 Issued in NY
Practice address
170 Buena Vista Rd
New City, NY 10956-1324
Phone
(845) 558-2355
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349344-01 NY Primary

Addresses

Primary practice location

170 Buena Vista Rd
New City, NY 10956-1324

Mailing address

170 Buena Vista Rd
New City, NY 10956-1324
Phone (845) 558-2355

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412003281 NY Practitioner - Nurse Practitioner 0648619486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F349344-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC CurrentSince Feb 26, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 6, 2025 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

423 E 138th St
#201
Bronx, NY 10454
Phone 2124701000700

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1669195095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BUENA VISTA RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561324",
            "telephone_number": "845-558-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BUENA VISTA RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561324",
            "telephone_number": "845-558-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "SHIRNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349344-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.