Active NPI
Courtney Ann Shaffer, CNM
- Midwife
- Enola, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW010738
- Practice address
- 2200 Good Hope Rd
Enola, PA 17025-1210 - Phone
- (717) 981-9000
- Fax
- (717) 737-2765
- NPI assigned
- May 31, 2023
- Last updated
- Oct 18, 2023
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW010738 | PA | Primary |
Addresses
Primary practice location
2200 Good Hope Rd
Enola, PA 17025-1210
Mailing address
PO Box 858
MC Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other practice location 1
423 N 21st St
Camp Hill, PA 17011-2207
Phone (717) 763-9880
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cshaffer9@direct.psu.edu |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW010738 | PA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Midwife | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients | |
| Partners in Women's Healthcare, PC | Past | Accepting new patients |
Locations
423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880
2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8110
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511
Interoperability endpoints
- cshaffer9@direct.psu.edu
Organizations & group practices 5
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.
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- Obstetrics & Gynecology Physician
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Midwife
-
- Dermatology Physician
- Camp Hill, PA
- NPI 1407500143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1205529716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GOOD HOPE RD",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251210",
"telephone_number": "717-981-9000",
"fax_number": "717-737-2765"
}
],
"practiceLocations": [
{
"address_1": "423 N 21st St",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112207",
"country_code": "US",
"telephone_number": "717-763-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFFER",
"first_name": "COURTNEY",
"middle_name": "ANN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW010738",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshaffer9@direct.psu.edu",
"affiliation": "N",
"address_1": "2200 Good Hope Rd",
"city": "Enola",
"state": "PA",
"country_code": "US",
"postal_code": "170251210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.