Shinelle Burgess

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F311640-01 Issued in NY

Practice address

287 N 3Rd Ave
Bay Shore, NY 11706-4109

Phone

(516) 610-8980

NPI assigned

Oct 13, 2020

Last updated

May 22, 2026By the provider in NPPES

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

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klein Medical Services

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1609665207
  Medicare reassignment NPD
• Ira Klein PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1902776990
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1730787631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 N 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064109",
            "telephone_number": "516-610-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 N 3RD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064109",
            "telephone_number": "516-610-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SHINELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F311640-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bumstead, NP-C, MSCN
• Deshauna Bunbury
• Buonadonna Shoprite LLC (Shoprite of Bayshore)
• Alexa A Buongiorno
• Joseph T Burbige, PT
• Ilsi Pamela Burgos
• Caitlin Burke, LMSW
• Christina A Burke, PT
• Madeline Burke, PA-C
• Marie Burkhardt, N.P.

• Gerontology Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.