Katelyn Shaffer, RN, BSN, MSN, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP017879 Issued in PA

Practice address

717 Bethlehem Pike Ste 300
Erdenheim, PA 19038-8117

Phone

(215) 914-2119

NPI assigned

Sep 7, 2017

Last updated

Sep 7, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  PA

  Medicare reassignment Care Compare group NPD
• Pottstown Clinic Company LLC

  dba Emergency Medicine Pottstown Tower Health Medical Group

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934
  Medicare reassignment NPD
• Tower Drexel Academic Medical Group LLC

  dba Internal Medicine Tower Health Medical Group Broad Street

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1780227488
  Medicare reassignment NPD
• HR Physician Services

  dba Redeemer Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Huntingdon Valley, PA
  • NPI 1205500188
  NPD
• Tower Drexel Academic Medical Group LLC

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1225660095
  NPD
• Tower Drexel Academic Medical Group LLC

  dba Family Medicine Tower Health Medical Group Drexel Student Health

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1457995938
  NPD

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1699293928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CLEARVIEW AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062433",
            "telephone_number": "267-679-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BETHLEHEM PIKE STE 300",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388117",
            "telephone_number": "215-914-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KATELYN",
        "credential": "RN, BSN, MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP017879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli Marie Sartorio
• Lawrence Alan Schiff, DMD
• Brendan Schluth, LAPC
• Mary Louise Anne Schneiders, DPM
• Cheryl Lynn Schoell, LSW
• Shaleea Shields
• Deborah Shore, P.T.
• Jaclyn Michelle Shore, PHARMD
• Scott R Smith, L. OM
• Stellarcare,PC.

• Psychiatric/Mental Health Nurse Practitioner in Erdenheim, PA
• Providers in Erdenheim, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.