Active NPI
Shannon Lynne Tilbe
- Family Nurse Practitioner
- Hamilton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344811
- Practice address
- 150 Broad St
Hamilton, NY 13346-9518 - Phone
- (315) 824-1100
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 16, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 344811 | NY | Primary |
Addresses
Primary practice location
150 Broad St
Hamilton, NY 13346-9518
Mailing address
150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100
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
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100
164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344811 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| Community Memorial Hospital | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Community Memorial Hospital | Current | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040
150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100
164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411
3460 South St
Morrisville, NY 13408
Phone (315) 684-3117
5180 S Main St
Munnsville, NY 13409
Phone (315) 495-2690
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
117 W Main St
Waterville, NY 13480
Phone (315) 841-4178
Interoperability endpoints
- stilbe@cmhhamilton.medentdirect.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Hamilton, NY
- NPI 1932100393
-
- Rural Health Clinic/Center
- Waterville, NY
- NPI 1477080604
-
- Rural Health Clinic/Center
- Hamilton, NY
- NPI 1609303692
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1760035042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BROAD ST",
"city": "HAMILTON",
"state": "NY",
"postal_code": "133469575",
"telephone_number": "315-824-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BROAD ST",
"city": "HAMILTON",
"state": "NY",
"postal_code": "133469518",
"telephone_number": "315-824-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILBE",
"first_name": "SHANNON",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.