Shasta Danielle Treadway, PMHNP - Medicare Nurse Practitioner in Salt Point, NY

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Shasta Danielle Treadway, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salt Point, New York. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Delaware Valley Hospital Inc., Delaware County and her current practice location is 2510 Route 44 Ste F, Salt Point, New York. You can reach out to her office (for appointments etc.) via phone at (844) 205-0773.

Shasta Danielle Treadway is licensed to practice in New York (license number 404416) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245953959.

Contact Information

Shasta Danielle Treadway, PMHNP
2510 Route 44 Ste F,
Salt Point, NY 12578-8040
(844) 205-0773
(845) 622-3636

Map and Direction




Provider's Profile

Full NameShasta Danielle Treadway
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2510 Route 44 Ste F, Salt Point, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shasta Danielle Treadway graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1245953959
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 06/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1658749031
  • Enrollment ID: I20221115003019

Medical Identifiers

Medical identifiers for Shasta Danielle Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245953959NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 404416 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Delaware Valley Hospital, IncWalton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delaware Valley Hospital Inc.286038833744
Delaware County125432738010

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. Shasta Danielle Treadway allows following entities to bill medicare on her behalf.
Entity NameDelaware Valley Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144312646
PECOS PAC ID: 2860388337
Enrollment ID: O20040223001307
Entity NameDelaware Valley Hospital Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1417940719
PECOS PAC ID: 2860388337
Enrollment ID: O20210611000846

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. Shasta Danielle Treadway 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
Shasta Danielle Treadway, PMHNP
2510 Route 44 Ste F,
Salt Point, NY 12578-8040

Ph: (844) 205-0773		Shasta Danielle Treadway, PMHNP
2510 Route 44 Ste F,
Salt Point, NY 12578-8040

Ph: (844) 205-0773

Reviews and Comments


Nurse Practitioner Nurses in Salt Point, NY

Lucia Ribeiro,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14 Mollys Way, Salt Point, NY 12578
Phone: 941-276-0983    

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.