Individual provider Active NPI

Shelby Marie Hawk

  • Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1033850201
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025567 Issued in PA
Practice address
1097 Oak St
Indiana, PA 15701-1651
Phone
(724) 349-2022
NPI assigned
Apr 4, 2022
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025567 PA Primary

Addresses

Primary practice location

1097 Oak St
Indiana, PA 15701-1651

Mailing address

104 Alderwood Dr
Greensburg, PA 15601-5479

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220505001115 PA Practitioner - Nurse Practitioner 2062809338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025567PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adagio Health Inc. Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Adagio Health Inc. Nurse Practitioner Current Accepting new patients
Adagio Health Inc. CurrentSince Mar 21, 2022 Accepting new patients
Adagio Health Inc. Nurse Practitioner Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

323 Sunset Dr
Ste 2
Butler, PA 16001
Phone (724) 282-2730

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

1097 Oak St
Indiana, PA 15701
Phone (724) 349-2022

1097 Oak St
#118
Indiana, PA 15701

Interoperability endpoints

  • Direct secure messaging: shelby.emert.p6@direct.adagiohealth.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1033850201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALDERWOOD DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OAK ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011651",
            "telephone_number": "724-349-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.