Individual provider Active NPI

Shanique Salisha Morris, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1861118200
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350374 Issued in NY
Practice address
241 W 57TH St
New York, NY 10019-2121
Phone
(212) 247-5848
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 350374 NY Primary

Addresses

Primary practice location

241 W 57TH St
New York, NY 10019-2121

Mailing address

241 W 57TH St
New York, NY 10019-2121
Phone (212) 247-5848

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
I20230929001926 NY Practitioner - Nurse Practitioner 4486008018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

Merit-based Incentive Payment System (MIPS)

Final score
25.2 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Nov 15, 2023 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Aug 27, 2023 Accepting new patients
2241 Medical Testing Corp CurrentSince Feb 18, 2025 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

2241 Ocean Ave
Brooklyn, NY 11229
Phone (718) 375-3746

100 W 33rd St
New York, NY 10001

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1861118200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192121",
            "telephone_number": "212-247-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192121",
            "telephone_number": "212-247-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SHANIQUE",
        "middle_name": "SALISHA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.