Jennifer May Shobert, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA052990 Issued in PA

Practice address

2255 Philadelphia St
Indiana, PA 15701-1595

Phone

(724) 463-0476

NPI assigned

Jun 3, 2007

Last updated

Apr 12, 2021By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jshobert@indianapediatrics.medentdirect.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.

• Indiana Pediatric Associates, P C a

  • Rural Health Clinic/Center
  • Indiana, PA
  • NPI 1740136308
  NPD (past)
• Indiana Pediatric Associates, P C a

  • Rural Health Clinic/Center
  • Blairsville, PA
  • NPI 1831045491
  NPD (past)
• Indiana Pediatric Associates, PC

  • Pediatrics Physician
  • Indiana, PA
  • NPI 1467589796
  NPD (past)
• Lebanon Emergency Physicians PC

  • Specialist
  • Lebanon, PA
  • NPI 1508907262
  NPD (past)

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1083816979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 ROUTE 286 HWY W",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157018667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011595",
            "telephone_number": "724-463-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBERT",
        "first_name": "JENNIFER",
        "middle_name": "MAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50071085",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Shimps, RN
• Blaine Scott Shindel, LSW
• Shirish a. Amin M.D., P.C.
• Shirley Eye Care LLC
• Matthew Paul Shirley, O.D.
• Susan Nolin Shopland, PSY.D.
• Lilian Shotts, CRNP-BC
• Jeanne M. Shoulders, CRNP
• Megan R Shugarts, PA-C
• Tracy L Sickon, FNP

• Medical Physician Assistant in Indiana, PA
• Providers in Indiana, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.