Individual provider Active NPI

Shawna Marie McCormick, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1023443181
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000980 Issued in DE
Practice address
701N Clayton St
Wilmington, DE 19805-3165
Phone
(302) 421-4100
Fax
(302) 575-8155
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056360 PA
Physician Assistant 363A00000X C5-0000980 DE Primary

Addresses

Primary practice location

701N Clayton St
Wilmington, DE 19805-3165

Mailing address

701N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawna.mccormick@direct.4.mycarefile.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20181106002852 DE Practitioner - Physician Assistant 2466752126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

701 N Clayton St
Wilmington, DE 19805-3165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056360PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Inc. CurrentSince Sep 15, 2018 Accepting new patients
St Francis Hospital Inc Past Accepting new patients

Locations

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

Interoperability endpoints

  • Direct secure messaging: smccormick2019275@direct.trinity-health.org

Organizations & group practices 3

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1023443181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-4100",
            "fax_number": "302-575-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-421-4100",
            "fax_number": "302-575-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056360",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawna.mccormick@direct.4.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701N CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.