Individual provider Active NPI

Elena L Shu, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1306359427
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018084 Issued in PA
Practice address
802 New Holland Ave Ste 200
Lancaster, PA 17602-2288
Phone
(717) 299-6371
NPI assigned
Nov 10, 2017
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018084 PA Primary

Addresses

Primary practice location

802 New Holland Ave Ste 200
Lancaster, PA 17602-2288

Mailing address

304 N Water Street
Lancaster, PA 17603-3374
Phone (717) 735-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20180110002132 PA Practitioner - Nurse Practitioner 0446519854
I20200303002125 MD Practitioner - Nurse Practitioner 0446519854 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018084PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
Union Community Care CurrentSince Dec 1, 2017 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Mar 2, 2020 Accepting new patients
Union Community Care CurrentSince Dec 1, 2017 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Mar 2, 2020 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Plume Health, PC Past Accepting new patients

Locations

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

Interoperability endpoints

  • Direct secure messaging: elena.shu@217526021193732.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1306359427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER STREET",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-735-6808",
            "fax_number": "717-945-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022288",
            "telephone_number": "717-299-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "ELENA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.