Individual provider Active NPI

Alexis Shanabrook

  • Physician Assistant
  • Hanover, PA
National Provider Identifier
1467008987
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005438 Issued in PA
Practice address
20 North St
Hanover, PA 17331-2275
Phone
(717) 637-7755
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005438 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

20 North St
Hanover, PA 17331-2275

Mailing address

20 North St
Hanover, PA 17331-2275
Phone (717) 637-7755

Other practice location 1

1 College Ave
Williamsport, PA 17701-5778
Phone (570) 327-4779

Other practice location 2

2030 Thistle Hill Dr Ste 100
Spring Grove, PA 17362-1160
Phone (717) 225-6170

Other practice location 3

18 North St
Hanover, PA 17331-2275
Phone (717) 637-7755

Other practice location 4

20 Expedition Trl Ste 203
Gettysburg, PA 17325-8599
Phone (717) 334-4455

Other identifiers 1

IdentifierTypeStateIssuer
103837806MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashanabrook112021@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201116000726 PA Practitioner - Physician Assistant 8224449624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

18 N St
Hanover, PA 17331-2275

20 N St
Upmc Maternal Fetal Medicine
Hanover, PA 17331-2275
Phone (717) 231-8472

2201 Brunswick Dr
Hanover, PA 17331-8350

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

  • Upmc Hanover Hospital, Hanover, PA, CCN 390233

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005438PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 16, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2020 Accepting new patients
Pinnacle Health Regional Physicians Physician Assistant CurrentSince Mar 16, 2022 Accepting new patients
Pennsylvania College of Technology PastSince Aug 1, 2019 Accepting new patients
Pinnacle Health Medical Services Physician Assistant Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

20 Expedition Trl
Ste 203
Gettysburg, PA 17325
Phone (717) 334-4455

20 North St
Hanover, PA 17331
Phone (717) 637-7755

2201 Brunswick Dr
Ste 2200
Hanover, PA 17331
Phone (717) 637-7755

18 North St
Hanover, PA 17331
Phone (717) 637-7755

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2030 Thistle Hill Dr
Ste 100
Spring Grove, PA 17362
Phone (717) 225-6170

Interoperability endpoints

  • Direct secure messaging: ashanabrook302880@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1467008987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORTH ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312275",
            "telephone_number": "717-637-7755",
            "fax_number": "717-637-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTH ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312275",
            "telephone_number": "717-637-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 College Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177015778",
            "country_code": "US",
            "telephone_number": "570-327-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Thistle Hill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "PA",
            "postal_code": "173621160",
            "country_code": "US",
            "telephone_number": "717-225-6170",
            "fax_number": "717-646-7438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 North St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312275",
            "country_code": "US",
            "telephone_number": "717-637-7755",
            "fax_number": "717-646-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Expedition Trl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173258599",
            "country_code": "US",
            "telephone_number": "717-334-4455",
            "fax_number": "717-334-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANABROOK",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005438",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103837806",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashanabrook112021@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "20 North St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.