SHINE PHILIP (NP) – Family Nurse Practitioner, NPI 1538519954
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for SHINE PHILIP (NP)
372 Danbury Rd
Wilton, CT 068972548
Phone: (203) 276-2516
Fax: (203) 276-2515
Type: Location
The New Jewish Home, 845, Palmer Avenue, Mamaroneck, Town of Mamaroneck, New York, 10543, United States
MAMARONECK, NY 105432406
Phone:
Type: Mailing
1 THEALL RD
RYE, NY 105801404
Phone:
Type: Mailing
75 HOLLY HILL LN STE 201
GREENWICH, CT 068302912
Phone: (203) 276-2516
Fax: (203) 276-2515
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190319002019 | I | Nurse Practitioner | NY | TBD |
| I20240718000887 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 258 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 156 | 133 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 147 | 116 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 99 | 90 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 74 | 71 | $0 |
Insurance plans in this area (ZIP 06897)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Physician Assistant | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| P S Y C H I A T R Y | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Physician Assistant | CT | |
| Internal Medicine | NY | |
| Nurse Practitioner | CT |
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