Active NPI
Nancy C Shenck, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- York, PA
National Provider Identifier
1255361994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- VP000913G
- Practice address
- 4222 Lincoln Hwy
York, PA 17406-8083 - Phone
- (717) 812-7800
- Fax
- (717) 812-7811
- NPI assigned
- Jul 4, 2006
- Last updated
- Feb 4, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | VP000913G | PA | Primary |
Addresses
Primary practice location
4222 Lincoln Hwy
York, PA 17406-8083
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-7800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149894 | Other | PA | HIGHMARK BLUE SHIELD |
| 01646203 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 105126 | Other | PA | JOHNS HOPKINS |
| 20019364 | Other | PA | AMERIHEALTH MERCY-WMG |
| 1551702 | Other | PA | GATEWAY-WMG |
| 619063 | Other | PA | CAREFIRST MD BCBS |
Other names 1
- Nancy Brown-Shenck
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP000913G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Designer Family Eyecare, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- York, PA
- NPI 1487796421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1255361994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-812-7800",
"fax_number": "717-812-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 LINCOLN HWY",
"city": "YORK",
"state": "PA",
"postal_code": "174068083",
"telephone_number": "717-812-7800",
"fax_number": "717-812-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENCK",
"first_name": "NANCY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "VP000913G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "0149894",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "01646203",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "105126",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20019364",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1551702",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "619063",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "BROWN-SHENCK",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.