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Shawnette Marie Proper, RPA-C

Physician Assistant, Medical in New York, NY. Individual provider (NPI-1).

NPI number1881746618
StatusActive
Last updated in NPPESApr 13, 2012

Details

NPI
1881746618
Entity type
Individual (NPI-1)
Name
Ms. Shawnette Marie Proper
Credential
RPA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2007
Last updated
Apr 13, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical009872NYYes

Practice location

550 1st Ave
Tisch Nyulmc Emergency Department
New York, NY 10016-6402

Phone 917-623-3138

Mailing address

4721 41st St
Apt 4g
Sunnyside, NY 11104-3644

Phone 646-479-9832

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