Alissa Rose Shelander

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

43 Servidea Dr
Ridgway, PA 15853-6333

Phone

(814) 776-2145

Fax

(814) 776-1470

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dickinson Center, IncGroup PAC ID 3870489131, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dickinson Center, Inc

  • Community/Behavioral Health Agency
  • Ridgway, PA
  • NPI 1164503322
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1316559693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145",
            "fax_number": "814-776-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145",
            "fax_number": "814-776-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELANDER",
        "first_name": "ALISSA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restful Nights Sleep Center
• Ridgway Ambulance Corporation
• Ridgway Area School District
• Rite Aid of Pennsylvania LLC
• Shauna Marie Scutella, PHMNP
• Joseph Edward Sherry, LCSW
• Bruce Roland Simons, PHD
• Sydney Jeanne Spang, PA-C
• Mark Charles Spiers, DMD
• Amanda Straub

• Social Worker in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.