Shelly A Fowler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1051 Issued in MA

Practice address

38 Mulberry St Ste 204
Leeds, MA 01053-5339

Phone

(413) 727-3882

Fax

(413) 727-8691

NPI assigned

Oct 18, 2007

Last updated

May 12, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Immunology Associates of New England LLCGroup PAC ID 3971826256, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Allergy and Immunology Associates of New England, LLC

  • Allergy & Immunology Physician
  • Florence, MA
  • NPI 1538574082
  Medicare reassignment Care Compare group
• Heather Wark MD LLC

  • Internal Medicine Physician
  • Northampton, MA
  • NPI 1871015750
  Medicare reassignment

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1598954208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010530313",
            "telephone_number": "413-727-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MULBERRY ST STE 204",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010535339",
            "telephone_number": "413-727-3882",
            "fax_number": "413-727-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SHELLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002021",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA1051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003020211",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Michael Fedorowicz
• Bethany Ferry
• Rebecca Hannah Finkel
• Kimberly Ann Fitzpatrick, M.S., R.P.T.
• Richard Michael Foley, OTR/L
• Mark Louis Fox, RPH
• Joyce Meier Fredrick, RD
• George F. Fuller, M.D.
• Tina L Furcolo, D.O.
• Isabella Dancy Gabrielson

• Physician Assistant in Leeds, MA
• Providers in Leeds, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.