Individual provider Active NPI

Shelley Machado, PA-C

  • Physician Assistant
  • Lewistown, PA
National Provider Identifier
1013753391
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118784 Issued in PA
Practice address
6 N Dorcas St
Lewistown, PA 17044-1737
Phone
(717) 953-9571
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118784 PA Primary

Addresses

Primary practice location

6 N Dorcas St
Lewistown, PA 17044-1737

Mailing address

11645 Biscayne Blvd Ste 207
North Miami, FL 33181-3138
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
123412100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240815002552 FL Practitioner - Physician Assistant 5193263630 Reassigns benefits to 1 organization
I20251210003079 PA Practitioner - Physician Assistant 5193263630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
City University of New York School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miami Beach Community Health Center, Inc.Group PAC ID 8123090925, shared by 10 NPIs, 49 clinicians
Nitin V Sheth MD LLCGroup PAC ID 0143405134, 7 clinicians

Practice addresses (Care Compare)

1221 71St St
Miami, FL 33141-3647
Phone (305) 538-8835

6 N Dorcas St
Lewistown, PA 17044-1737
Phone (717) 953-9571

710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9118784PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Jul 31, 2024 Accepting new patients
Nitin V Sheth MD LLC CurrentSince Nov 15, 2025 Accepting new patients
Miami Beach Community Health Center, Inc. CurrentSince Jul 31, 2024 Accepting new patients

Locations

710 Alton Rd
Miami Beach, FL 33139

1221 71st St
Miami Beach, FL 33141

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

6 N Dorcas St
Lewistown, PA 17044
Phone (717) 953-9571

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1013753391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N DORCAS ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441737",
            "telephone_number": "717-953-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "SHELLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "PA9118784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123412100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.