Shantel Eccleston
Shantel Eccleston is a Critical Care Neonatal Nurse Practitioner in Rosedale, NY, registered under NPI 1255904751. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 12103 234TH ST, Rosedale, NY 11422. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 679343 | NY | Neonatal Intensive Care Registered Nurse |
| 350494 | NY | Critical Care Neonatal Nurse Practitioner primary |
This provider holds licence 679343 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 8820569411
- Enrollment ID
- I20260604001578
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal, Critical Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LN0005X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163WN0002X | Neonatal Intensive Care Registered Nurse Neonatal Intensive Care | 679343 | NY | |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner Neonatal, Critical Care | 350494 | NY | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255904751 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 21, 2021 |
| Last updated | Jul 21, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
12103 234TH ST Rosedale, NY 11422 (347) 232-0792 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 9 | 0 | 4 | 7 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 9 | 0 | 8 | 7 | 1 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.