Individual provider Active NPI

Danine McShane, NP

  • Nurse Practitioner
  • Chatham, NY
National Provider Identifier
1891100756
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
306914 Issued in NY
Practice address
29 Jones Avenue - Chatham Medical BLDG
Chatham Internal Medicine
Chatham, NY 12037-1136
Phone
(518) 392-8600
Fax
(518) 392-8601
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306914 NY
Nurse Practitioner 363L00000X 306914 NY Primary

Addresses

Primary practice location

29 Jones Avenue - Chatham Medical BLDG
Chatham Internal Medicine
Chatham, NY 12037-1136

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

14 Vista Blvd
Slingerlands, NY 12159-2184
Phone (518) 459-5273

Other practice location 2

14 Vista Blvd
Slingerlands, NY 12159-2184
Phone (518) 459-5273

Other identifiers 1

IdentifierTypeStateIssuer
03884599MedicaidNY

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
I20140818000160 NY Practitioner - Nurse Practitioner 9335366293 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306914NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Statline Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

29 Jones Ave
Chatham, NY 12037
Phone (518) 392-1122

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Interoperability endpoints

  • Direct secure messaging: dmcshane949030@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891100756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JONES AVENUE - CHATHAM MEDICAL BLDG",
            "address_2": "CHATHAM INTERNAL MEDICINE",
            "city": "CHATHAM",
            "state": "NY",
            "postal_code": "120371136",
            "telephone_number": "518-392-8600",
            "fax_number": "518-392-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121592184",
            "country_code": "US",
            "telephone_number": "518-459-5273",
            "fax_number": "518-489-5790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121592184",
            "country_code": "US",
            "telephone_number": "518-459-5273",
            "fax_number": "518-489-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "DANINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306914",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "306914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03884599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NY

Sources for this page

Verify at the official NPI Registry.