Mrs Shelly Lynn Peters, PMHNP-BC - Medicare Nurse Practitioner in Syracuse, NY

Mrs Shelly Lynn Peters, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Syracuse, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 324 University Ave Fl 3, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 362-2540.

Mrs Shelly Lynn Peters is licensed to practice in New York (license number 402033) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1942754015.

Contact Information

Mrs Shelly Lynn Peters, PMHNP-BC
324 University Ave Fl 3,
Syracuse, NY 13210-1811
(315) 362-2540
(315) 361-1786

Map and Direction




Provider's Profile

Full NameMrs Shelly Lynn Peters
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location324 University Ave Fl 3, Syracuse, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shelly Lynn Peters attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1942754015
  • Provider Enumeration Date: 08/06/2016
  • Last Update Date: 02/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941598734
  • Enrollment ID: I20161011001773

Medical Identifiers

Medical identifiers for Mrs Shelly Lynn Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942754015NPI-NPPES
04532216MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 402033 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402033 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shelly Lynn Peters allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameSt Joseph's Physician Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shelly Lynn Peters is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shelly Lynn Peters, PMHNP-BC
324 University Ave Fl 3,
Syracuse, NY 13210-1811

Ph: (315) 362-2540
Mrs Shelly Lynn Peters, PMHNP-BC
324 University Ave Fl 3,
Syracuse, NY 13210-1811

Ph: (315) 362-2540

Reviews and Comments


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Mary Jean Thomas, FNP
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Frances I Swiecki, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.