Individual provider Active NPI

Shawn S Becker, PA-C

  • Physician Assistant
  • Enola, PA
National Provider Identifier
1093129389
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056916 Issued in PA
Practice address
1822 Good Hope Rd
Enola, PA 17025-1233
Phone
(717) 763-7685
Fax
(717) 975-9250
NPI assigned
Jun 16, 2014
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056916 PA Primary
Medical Physician Assistant 363AM0700X MA056916 PA

Addresses

Primary practice location

1822 Good Hope Rd
Enola, PA 17025-1233

Mailing address

1822 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 763-7685

Other practice location 1

4811 Jonestown Rd
Suite 123
Harrisburg, PA 17109-1745
Phone (717) 651-5800

Other practice location 2

148 Newberry Pkwy
Etters, PA 17319-8968
Phone (717) 938-0120

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
I20140805001558 PA Practitioner - Physician Assistant 2466679055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crumay Parnes Associates, Inc.Group PAC ID 7719976604, 6 clinicians

Practice addresses (Care Compare)

1822 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 763-7685

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
88.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056916PAMDMedical Physician Assistant

Organizations & group practices 1

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1093129389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-763-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-763-7685",
            "fax_number": "717-975-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4811 Jonestown Rd",
            "address_2": "Suite 123",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171091745",
            "country_code": "US",
            "telephone_number": "717-651-5800",
            "fax_number": "717-651-5808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Newberry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173198968",
            "country_code": "US",
            "telephone_number": "717-938-0120",
            "fax_number": "717-938-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "SHAWN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056916",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.