Andrea Shelly, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA059476 Issued in PA

Practice address

175 Martin Ave Ste 350
Ephrata, PA 17522-1763

Phone

(717) 738-5648

NPI assigned

Oct 6, 2017

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

Other names 1

• Andrea Bunker Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
• Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashelly418306@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group
• Regional Gastroenterology Associates of Lancaster, LTD.

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1154422806
  Medicare reassignment
• Midatlantic Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1255872784
  NPD
• Regional Gastroenterology Associates of Lancaster, LTD.

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1295819084
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Gynecologic Oncology Physician
  • York, PA
  • NPI 1982790622
  NPD

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

• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  Care Compare affiliation
• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1558558064
  Care Compare affiliation
• Ephrata Community Hospital

  • Hospitalist Physician
  • Ephrata, PA
  • NPI 1700023041
  Care Compare affiliation
• Ephrata Community Hospital-Spu

  • Clinic/Center
  • Ephrata, PA
  • NPI 1548423684

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • Ambulatory Surgical Clinic/Center
  • Lebanon, PA
  • NPI 1205902343

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500
  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1326558156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARTIN AVE STE 350",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221763",
            "telephone_number": "717-738-5648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 E Main St",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175401964",
            "country_code": "US",
            "telephone_number": "717-656-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "954 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-376-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BUNKER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anoop B Shah, MD
• Andrea Marie Shanafelt, MSPT
• John Shand, MD
• Amanda F Shawgo
• Lisa K Sheaffer, PHARM.D.
• Donald Alan Sherman, R. PH.
• Tracy Sherman, CRNA
• Hannah Kessler Shope, LMT
• Ivan Courtney Shorter, D.O.
• Gary L. Shugar, M.D.

• Physician Assistant in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.