James Shellem, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010810 Issued in PA

Practice address

161 Foxchase Dr
Elizabethtown, PA 17022-1773

Phone

(717) 361-2903

NPI assigned

Jun 3, 2010

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Urgent Care Center of Lancaster, LLC

  • Urgent Care Clinic/Center
  • Gap, PA
  • NPI 1376799429
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1033439757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FOXCHASE DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FOXCHASE DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221773",
            "telephone_number": "717-361-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEM",
        "first_name": "JAMES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP017385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Schaffer, MS, ATC, CES, PCES
• Carolyn Schlicher, NBC-HWC, CWC
• Emily Rose Schreiber, COTAL
• Robin Selig, LCSW
• Brenna Sheaffer, MT-BC
• Ashley Shellenberger
• Stephanie Nicole Sheppard, PHARMD
• Jacob M. Sherk, RPH
• Aja Sides, ATC
• George Robert Simms, M.D.

• Family Nurse Practitioner in Elizabethtown, PA
• Providers in Elizabethtown, 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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.