Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelby Rakusin, PA-C

Individual provider Physician Assistant · NPI 1528794138

Shelby Rakusin, PA-C is a Physician Assistant in Mount Kisco, New York. Qualified in 2022, 4 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

400 E Main St
Mount Kisco, NY 10549-3417
Phone: (914) 666-1254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 25 Ladue Rd, Hopewell Junction, NY 12533-6471 — (914) 356-6718
  • 6111 Villa At The Woods, Peekskill, NY 10566-4972 — (914) 356-6718
  • 6111 Villa At The Woods, Peekskill, NY 10566-4972 — (914) 356-6718

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028690-01 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1528794138
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mount Kisco