NPIMap

Individual provider Active NPI

Staci Mazurek Sheba, D.O.

  • Family Medicine Physician
  • Uniontown, PA
National Provider Identifier
1538133871
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012923 Issued in PA
Practice address
650 Cherry Tree LN
Uniontown, PA 15401-8947
Phone
(724) 438-4364
Fax
(724) 438-4720
NPI assigned
Feb 14, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012923 PA Primary

Addresses

Primary practice location

650 Cherry Tree LN
Uniontown, PA 15401-8947

Mailing address

650 Cherry Tree LN
Uniontown, PA 15401-8947
Phone (724) 438-4364

Other identifiers 2

IdentifierTypeStateIssuer
1017090930005MedicaidPA
1894429OtherHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staci.sheba.1@20243.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000220 PA Practitioner - Family Practice 9436167194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uniontown Medical Associates IncGroup PAC ID 1850723669, 4 clinicians

Practice addresses (Care Compare)

650 Cherry Tree LN
Uniontown, PA 15401-8947
Phone (724) 438-4364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Uniontown Medical Associates Inc Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine PastSince Jan 1, 2006 Accepting new patients
4M Emergency Systems LLC Emergency Medicine Past Accepting new patients

Locations

650 Cherry Tree Ln
Uniontown, PA 15401
Phone (724) 438-4364

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20243/brand/1/csg/1/fhir/r4
  • Direct secure messaging: staci.sheba.1@20243.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1538133871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-438-4364",
            "fax_number": "724-438-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-438-4364",
            "fax_number": "724-438-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEBA",
        "first_name": "STACI",
        "middle_name": "MAZUREK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017090930005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1894429",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staci.sheba.1@20243.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "650 Cherry Tree Ln",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154018947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.