Active NPI
Jeffrey L Shetler, D.C.
- Chiropractor
- Chambersburg, PA
National Provider Identifier
1366560328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008992
- 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, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001582032 | Other | PA | HIGHMARK BC BS |
| 101625780 0001 | Medicaid | PA | |
| 411492 | Other | PA | UPMC HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC008992 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Strasiser Chiropractic, Inc | Chiropractor | Past | 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.
-
- Chiropractor
- McConnellsburg, PA
- NPI 1972004893
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- Chiropractor
- Hollsopple, PA
- NPI 1316077803
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.