Winona T Shively, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP023250 Issued in PA

Practice address

3321 Chestnut St
Whitehall, PA 18052-7411

Phone

(610) 262-7123

NPI assigned

Feb 15, 2021

Last updated

Feb 26, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke's Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
• St Luke's Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
• St Luke's Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
• St Luke's Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: winona.shively@slpg.direct-sluhn.org

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.

• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group NPD
• St. Luke's Warren Physician Group, PC

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
  • NPI 1467725184
  Medicare reassignment Care Compare group NPD
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group, Inc.

  dba St. Luke's Emergency Physician Specialists

  • Emergency Medicine Physician
  • Bethlehem, PA
  • NPI 1730133059
  NPD
• St. Luke's Warren Physician Group, PC

  dba St. Luke's Twin Rivers Warren Gastroenterology

  • Gastroenterology Physician
  • Phillipsburg, NJ
  • NPI 1083215594
  NPD
• St. Luke's Warren Physician Group, PC

  dba St. Luke's Warren Ophthalmology

  • Ophthalmology Physician
  • Phillipsburg, NJ
  • NPI 1568347201
  NPD
• St. Luke's Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Luke's Hospital

  dba St. Luke's Hospital-Sacred Heart Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital - Anderson Campus

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital-Lehighton Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St Lukes Quakertown Hospital

  • General Acute Care Hospital
  • Quakertown, PA
  • NPI 1669405072
  Care Compare affiliation
• St. Luke's Hospital

  dba St. Luke's Hospital - Allentown Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke's Hospital Bethlehem

  dba St. Luke's Partial Hospitalization Program

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation
• St. Luke's Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation
• St. Luke's Hospital Monroe Campus

  • General Acute Care Hospital
  • Stroudsburg, PA
  • NPI 1396194197
  Care Compare affiliation
• St. Luke's Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1235722927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CHESTNUT ST",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180527411",
            "telephone_number": "610-262-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W Main St",
            "address_purpose": "LOCATION",
            "city": "Macungie",
            "state": "PA",
            "postal_code": "180621120",
            "country_code": "US",
            "telephone_number": "610-967-4993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "WINONA",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP023250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Rena Serensits
• Jipsa Shah
• Riya M Shah
• James Shearer
• Erla Lynette Sheridan
• Mickatelyn Shumanis
• Michelle Jean Silva, CRNP FNP-C
• Erika Yamel Sinchi
• Mikhail Sitkovetskiy, MIKHAIL SITKOVETSKIY
• George Skaff, D.D.S.

• Family Nurse Practitioner in Whitehall, PA
• Providers in Whitehall, 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 Feb 26, 2021; 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.

Verify at the official NPI Registry.