Shanniqua Mitchell, FNP-BC
NPI 1528562105ActiveIndividual· Nurse Practitioner, Family· West Haverstraw, NY
Nurse Practitioner, Family (FNP-BC) in West Haverstraw, New York, licensed in NY, with an NPI issued in March 2018. Enrolled in Medicare as order and referring only - nurse practitioner.
Overview
| NPI | 1528562105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 357874 | NY |
| Registered Nurse | 163W00000X | 627210 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Nurse Practitioner (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in West Haverstraw
- 1083484141
- 1053445916
- 1972846210
- 1558081448
- 1467809103
- 1336914167
- 1790800407
- 1467664797
- 1518207406