Active NPI
Shelby Glynn Stockton
- Medical Physician Assistant
- Rostraver Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA063933
- Practice address
- 800 Plaza Dr Ste 140
Rostraver Township, PA 15012-4019 - Phone
- (724) 929-4122
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | MA063933 | PA | Primary |
Addresses
Primary practice location
800 Plaza Dr Ste 140
Rostraver Township, PA 15012-4019
Mailing address
22521 Sportsman Rd
Spartansburg, PA 16434-3343
Phone (412) 584-0730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1163 Country Club Rd
Monongahela, PA 15063-1013
Hospital & facility affiliations
- Penn Highlands Mon Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mon-Vale Specialty Practices, Inc | Current | Accepting new patients | |
| Mon-Vale Specialty Practices, Inc | Current | Accepting new patients |
Locations
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000
800 Plaza Dr
Ste 140
Rostraver Township, PA 15012
Phone (724) 379-5802
Organizations & group practices 2
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.
-
- Gynecology Physician
- Monongahela, PA
- NPI 1356695720
-
- Pulmonary Disease Physician
- Rostraver Township, PA
- NPI 1033829270
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monongahela, PA
- NPI 1184401259
-
- General Acute Care Hospital
- Monongahela, PA
- NPI 1639353428
-
- General Acute Care Hospital
- Monongahela, PA
- NPI 1912905548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668902400000",
"number": "1043957582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22521 SPORTSMAN RD",
"city": "SPARTANSBURG",
"state": "PA",
"postal_code": "164343343",
"telephone_number": "412-584-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PLAZA DR STE 140",
"city": "ROSTRAVER TOWNSHIP",
"state": "PA",
"postal_code": "150124019",
"telephone_number": "724-929-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKTON",
"first_name": "SHELBY",
"middle_name": "GLYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-11-20",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA063933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rostraver Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2022; 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.