Shelby Ann Fitch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004593RX Issued in OH

Practice address

315 Struthers Liberty Rd
Campbell, OH 44405-1973

Phone

(330) 750-1333

NPI assigned

Feb 8, 2016

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Shelby Ann Knopick Former name

Medicare fee-for-service enrollment

Enrolled in OH, AL2 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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Alabama Primary Care, LLCGroup PAC ID 6901984913, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
• Eamc - Lanier Hospital, Valley, AL, CCN 010780

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

71.12

Promoting interoperability

100

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shelby.fitch.1@14728.direct.athenahealth.com

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.

• East Alabama Primary Care, LLC

  dba East Alabama Primary Care

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1710168257
  Medicare reassignment Care Compare group
• Triad Health Services, LLC

  dba Southwoods Physician Services

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457
  Medicare reassignment
• Southwoods Health at Home, LLC

  • Home Health Agency
  • Youngstown, OH
  • NPI 1023788940
  NPD (past)
• The Surgery Center at Southwoods, LLC

  dba The Surgical Hospital at Southwoods

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  NPD (past)
• Greater Montgomery Patient Centered Gastroenterology and Hepatology

  • Gastroenterology Physician
  • Montgomery, AL
  • NPI 1285030080
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation
• The East Alabama Health Care Authority

  dba Eamc-Lanier Rural Emergency Hospital

  • General Acute Care Hospital
  • Valley, AL
  • NPI 1780235002
  Care Compare affiliation

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1063870830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 STRUTHERS LIBERTY RD",
            "city": "CAMPBELL",
            "state": "OH",
            "postal_code": "444051973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 STRUTHERS LIBERTY RD",
            "city": "CAMPBELL",
            "state": "OH",
            "postal_code": "444051973",
            "telephone_number": "330-750-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058104",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004593RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "KNOPICK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Dawn Craft, LPN
• Pamela Dirienzo
• Dominique E Dothard
• Amanda Lyn Dotson, LPN
• Jennifer Kay Felix
• Jo Ann Flores
• Shaquan S Foster
• Kevin Craig Gibson, D.C.
• Azhaila T Gilford
• Sharee Ann Gilmore

• Physician Assistant in Campbell, OH
• Providers in Campbell, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.

Verify at the official NPI Registry.