Eleonora Shukshina, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

263643 Issued in AZ

Practice address

279 E Kennedy St
Spartanburg, SC 29302-1912

Phone

(864) 583-0053

Fax

(864) 583-0390

NPI assigned

Nov 14, 2024

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 OR, SC2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Pain and Spine InstituteGroup PAC ID 2769738301, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Columbia Pain and Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Gresham, OR
  • NPI 1972813962

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Commonwealth Pain Associates, PLLC

  dba Commonwealth Pain and Spine

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  SC

  Medicare reassignment
• Burnside Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Gresham, OR
  • NPI 1013417351
  NPD (past)

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

• Legacy Mount Hood Medical Center

  • General Acute Care Hospital
  • Gresham, OR
  • NPI 1255354700
  Care Compare affiliation

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1821812934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 E NORTHRIDGE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151671",
            "telephone_number": "602-565-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E KENNEDY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021912",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9404 Highway 78 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294563909",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "689 NW Burnside Rd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303739",
            "country_code": "US",
            "telephone_number": "503-382-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Montague Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296491471",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214708",
            "country_code": "US",
            "telephone_number": "864-260-6995",
            "fax_number": "864-884-9909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Ben Casey Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086600",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Enterprise Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153554",
            "country_code": "US",
            "telephone_number": "864-295-6399",
            "fax_number": "864-295-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7021 Saint Andrews Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-791-7175",
            "fax_number": "803-791-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKSHINA",
        "first_name": "ELEONORA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Shrestha
• Margaret Estelle Shreve, D.C.
• Tracy Thomas Shreve, FNP
• Betty Shuford, LAC
• Henry Shugart, M.D.
• Albertha Latoya Shuler-Gibson
• Julia Cook Shuler, PT
• Peggy Elizabeth Shull
• Alison M Shuman, BA
• Daniel Joseph Shuster, MD

• Family Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.