NPIMap

Individual provider Active NPI

Courtney Paige Shupp, PA-C

  • Physician Assistant
  • Easton, PA
National Provider Identifier
1235828971
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064947 Issued in PA
Practice address
2200 St Lukes Blvd Ste 100
Easton, PA 18045-5665
Phone
(484) 526-1735
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 25MP00936900 NJ
Physician Assistant 363A00000X MA064947 PA Primary

Addresses

Primary practice location

2200 St Lukes Blvd Ste 100
Easton, PA 18045-5665

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Other practice location 1

755 Memorial Pkwy Ste 201
Phillipsburg, NJ 08865-2748
Phone (484) 526-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231026002597 PA Practitioner - Physician Assistant 7315393360 Reassigns benefits to 1 organization
I20251105001118 NJ Practitioner - Physician Assistant 7315393360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

2200 St Luke's Blvd
Easton, PA 18045-5665

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

701 Ostrum St
Fountain Hill, PA 18015-1153

755 Memorial Pkwy
Phillipsburg, NJ 08865-2748
Phone (484) 503-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00936900NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Oct 30, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 10, 2025 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Oct 30, 2023 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 10, 2025 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 201
Phillipsburg, NJ 08865
Phone (484) 503-0055

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

2200 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone 4845261735 ext. 85413

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Ste 2
Fountain Hill, PA 18015
Phone (610) 954-1735

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: courtney.shupp@slpg.direct-sluhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1235828971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 100",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-526-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Memorial Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652748",
            "country_code": "US",
            "telephone_number": "484-526-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUPP",
        "first_name": "COURTNEY",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00936900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.