Individual provider Active NPI

Jeffrey L Shetler, D.C.

  • Chiropractor
  • Chambersburg, PA
National Provider Identifier
1366560328
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008992 Issued in PA
Practice address
1124 Kennebec Dr
Chambersburg, PA 17201-2809
Phone
(717) 263-8919
Fax
(717) 263-2655
NPI assigned
Mar 27, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008992 PA Primary

Addresses

Primary practice location

1124 Kennebec Dr
Chambersburg, PA 17201-2809

Mailing address

1124 Kennebec Dr
Chambersburg, PA 17201-2809
Phone (717) 263-8919

Other identifiers 3

IdentifierTypeStateIssuer
001582032OtherPAHIGHMARK BC BS
101625780 0001MedicaidPA
411492OtherPAUPMC HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000214 PA Practitioner - Chiropractic 3779475918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 E Pine St
MC Connellsburg, PA 17233-1437
Phone (717) 485-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008992PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Chiropractic LLC Chiropractor CurrentSince Jan 2, 2018 Accepting new patients
Strasiser Chiropractic, Inc Chiropractor PastSince Jan 19, 2020 Accepting new patients

Locations

425 E Pine St
Mc Connellsburg, PA 17233
Phone (717) 485-4611

Organizations & group practices 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1366560328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 KENNEBEC DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012809",
            "telephone_number": "717-263-8919",
            "fax_number": "717-263-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 KENNEBEC DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012809",
            "telephone_number": "717-263-8919",
            "fax_number": "717-263-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "001582032",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101625780 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "411492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.