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

Shivangi A Chudasama-Modi, FNP

Individual provider Nurse Practitioner · NPI 1548782931

Shivangi A Chudasama-Modi, FNP is a Nurse Practitioner in Ogdensburg, New York. Qualified in 2017, 9 years ago. Practices with Claxton-Hepburn Medical Center, a 78-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

100 Horwood Pl
Ogdensburg, NY 13669-4510
Phone: (315) 394-9462
Fax: (315) 713-5291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341857 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 341857 (NY)

Record details

NPI number1548782931
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 7, 2017
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Claxton-Hepburn Medical Center — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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