Individual provider Active NPI

Shenique Ranger- Hutchinson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1942841200
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402837-01 Issued in NY
Practice address
1847 Mott Avenue
Second Floor
Far Rockaway, NY 11691-4200
Phone
(718) 337-6800
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402837-01 NY Primary

Addresses

Primary practice location

1847 Mott Avenue
Second Floor
Far Rockaway, NY 11691-4200

Mailing address

1847 Mott Ave Ste 2
Far Rockaway, NY 11691-4220
Phone (718) 337-6800

Other practice location 1

9114 37th Ave
Jackson Heights, NY 11372-7920
Phone (718) 779-1600

Other names 1

  • Shenique Ranger- Hutchinson Other name

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
I20200421003146 NY Practitioner - Nurse Practitioner 1355771098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14601 45TH Ave
Suite 310
Flushing, NY 11355-2281
Phone (718) 670-5562

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402837-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2021 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Jun 4, 2020 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2021 Accepting new patients
Queens Psychiatric & Medical Care P.C. Psychiatric/Mental Health CurrentSince Apr 1, 2020 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Jun 7, 2020 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

1847 Mott Ave
Ste 2
Far Rockaway, NY 11691
Phone (718) 327-7000

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

14601 45th Ave
Ste 310
Flushing, NY 11355
Phone (718) 670-5468

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: srangerhutchinson92314@direct.medisys.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1942841200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 MOTT AVE STE 2",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914220",
            "telephone_number": "718-337-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 MOTT AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914200",
            "telephone_number": "718-337-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9114 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727920",
            "country_code": "US",
            "telephone_number": "718-779-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGER- HUTCHINSON",
        "first_name": "SHENIQUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402837-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENIQUE",
            "last_name": "RANGER- HUTCHINSON",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.