Individual provider Active NPI

Shelby Fillman

  • Nurse Practitioner
  • Clarion, PA
National Provider Identifier
1073394532
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP028866 Issued in PA
Practice address
24 Doctors LN
Clarion, PA 16214-8568
Phone
(833) 684-1898
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP028866 PA Primary
Registered Nurse 163W00000X RN666265 PA

Addresses

Primary practice location

24 Doctors LN
Clarion, PA 16214-8568

Mailing address

105 Butternut LN
Shippenville, PA 16254-4015
Phone (814) 758-7863

Other names 1

  • Shelby Spangler Former name

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
I20240102002888 PA Practitioner - Nurse Practitioner 1658721733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

129 Oneida Valley Rd
Suite 211
Butler, PA 16001-2252
Phone (844) 765-2845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN666265PAMDRegistered Nurse
SP028866PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Dec 11, 2023 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Dec 11, 2023 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

129 Oneida Valley Rd
Ste 211
Butler, PA 16001
Phone (888) 765-2845

324 5th St
Butler, PA 16001
Phone (724) 283-8232

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

330 N Point Dr
Ste 300
Clarion, PA 16214
Phone (814) 393-6051

300 Northpointe Cir
Ste 104
Seven Fields, PA 16046
Phone (833) 391-0738

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1073394532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BUTTERNUT LN",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544015",
            "telephone_number": "814-758-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148568",
            "telephone_number": "833-684-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMAN",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028866",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN666265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "SPANGLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.