Shelley Therese Kumer Chaffins, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018568 Issued in PA

Practice address

575 Coal Valley Rd Ste 277
Jefferson Hills, PA 15025-3716

Phone

(412) 469-7722

NPI assigned

Nov 16, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Choice Chiropractic and Wellness Center

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  • NPI 1366427254
  NPD
• Evergreen Integrative Medicine, LLC

  dba NW Functional Thyroid Clinic

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1407237175
  NPD (past)

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427562164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CARLETON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431314",
            "telephone_number": "949-310-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 277",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253716",
            "telephone_number": "412-469-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Carleton Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431314",
            "country_code": "US",
            "telephone_number": "949-310-3358",
            "fax_number": "949-310-3358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMER CHAFFINS",
        "first_name": "SHELLEY",
        "middle_name": "THERESE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018568",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN671717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lynn Kubiak, PA-C
• Alexander Scott Kuczmarski, MD
• Katrina Elizabeth Kudla, CRNP
• Emily Kulseth, PA-C
• Pushpa Kumari, M.D.
• Joseph Lach, CRNA
• Zachary Ethan Lahr, D.O.
• Richard Alan Laing, D.M.D.
• Paul David Laman Jr., MD
• Emily Lamark, PA-C

• Nurse Practitioner in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.