Active NPI
Shelly Respecki
- Medical Physician Assistant
- Erie, PA
National Provider Identifier
1174920193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA057353
- Practice address
- 120 E Second St 3Rd Floor
Erie, PA 16507-1578 - Phone
- (814) 877-8000
- NPI assigned
- Nov 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA057353 | PA | Primary |
Addresses
Primary practice location
120 E Second St 3Rd Floor
Erie, PA 16507-1578
Mailing address
120 E Second St 3Rd Floor
Erie, PA 16507-1578
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shelly.respecki@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Sports Medicine of Erie, PC | Current | Accepting new patients | |
| Upmc Emergency Medicine Inc | Past | Accepting new patients |
Locations
100 Peach St
Ste 400
Erie, PA 16507
Phone (814) 454-8287
201 State St
Erie, PA 16550
Phone (814) 877-2137
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.
-
- Orthopaedic Surgery Physician
- Erie, PA
- NPI 1760444624
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1174920193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E SECOND ST 3RD FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165071578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E SECOND ST 3RD FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165071578",
"telephone_number": "814-877-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESPECKI",
"first_name": "SHELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2021-05-24",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA057353",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelly.respecki@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.