Shaun Richard Barcavage, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028181 Issued in PA

Practice address

1565 Linden St
Bethlehem, PA 18017-4744

Phone

(610) 867-5365

Fax

(610) 867-5366

NPI assigned

Oct 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srb4001@direct.nyp.org

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.

• Novus Adult Care Services Inc.

  • Adult Health Nurse Practitioner
  • Bethlehem, PA
  • NPI 1679931349
  Medicare reassignment NPD
• Novus Pharmacy Services

  • Pharmacy
  • Bethlehem, PA
  • NPI 1811567779
  NPD

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1194153262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MINE HILL RD",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180779543",
            "telephone_number": "917-657-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174744",
            "telephone_number": "610-867-5365",
            "fax_number": "610-867-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Mine Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Riegelsville",
            "state": "PA",
            "postal_code": "180779543",
            "country_code": "US",
            "telephone_number": "917-657-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCAVAGE",
        "first_name": "SHAUN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00461900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara N Banville, PA-C
• Nikolas J. Baran, DO
• Kevin Barata, PT
• Frank William Barbehenn, MS
• Lauren Barbour, CRNP
• Cheryl Mierau Barcoski, CRNA
• Abigail Erin Barger, MD
• Judity A Barkanic, R.D.
• Ernesto Ricardo Barnabas Jr.
• Hannah Barnes, DO

• Family Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.