Shanda M Powell, FNB-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030833 Issued in PA

Practice address

655 Hershey Rd
Hummelstown, PA 17036-9243

Phone

(717) 566-3796

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr J Thomas DO Mba Family Practice PLLCGroup PAC ID 6507212248, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr J Thomas DO Mba Family Practice PLLC

  • Family Medicine Physician
  • Hummelstown, PA
  • NPI 1568248227
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Milton S Hershey Medical Center

  • General Acute Care Hospital
  • Hershey, PA
  • NPI 1568435477
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003635400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 QUARRY RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368902",
            "telephone_number": "717-319-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HERSHEY RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369243",
            "telephone_number": "717-566-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHANDA",
        "middle_name": "M",
        "credential": "FNB-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Health Medical Services (UPMC Woodward & Associates Obstetrics and Gynecology Specialists)
• Pinnacle Health Medical Services (PinnacleHealth Pediatric Associates)
• Pinnacle Health Medical Services (Pediatric Orthopaedics of Central PA - UPMC)
• Alyssa Polinak
• William A. Pomilla, M.D.
• Stephen K Powers, MD
• Prescient Medicine Holdings, Inc. (Prescient Medicine)
• Kendall James Prowse, DO
• Psychintegra Consulting LLC
• Kate Ramsey, LPC

• Family Nurse Practitioner in Hummelstown, PA
• Providers in Hummelstown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.