Active NPI
Jennifer Shirey, PA-C
- Medical Physician Assistant
- Muncy, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA056574
- Practice address
- 215 E Water St
Muncy, PA 17756-8828 - Phone
- (570) 546-4201
- NPI assigned
- Nov 19, 2013
- Last updated
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA056574 | PA | Primary |
Addresses
Primary practice location
215 E Water St
Muncy, PA 17756-8828
Mailing address
116 N 4TH St
Hughesville, PA 17737-1908
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
3 Hospital Dr
Lewisburg, PA 17837-9394
7095 Westbranch Hwy
Lewisburg, PA 17837-6864
7095 Westbranch Hwy 1000
Lewisburg, PA 17837-6864
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056574 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| AIDS Resource Alliance Inc | Past | Accepting new patients | |
| Muncee Emergency Physicians, LLC | Past | Accepting new patients |
Locations
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007
215 E Water St
Muncy, PA 17756
Phone (570) 327-8137
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- jshirey485999@wellspan.direct-ci.com
Organizations & group practices 8
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Family Medicine - West Cornwall
- Family Medicine Physician
- Lebanon, PA
- NPI 1639620164
-
- Emergency Medicine Physician
- Muncy, PA
- NPI 1568705119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Evangelical Community Hospital
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1730519265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N 4TH ST",
"city": "HUGHESVILLE",
"state": "PA",
"postal_code": "177371908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E WATER ST",
"city": "MUNCY",
"state": "PA",
"postal_code": "177568828",
"telephone_number": "570-546-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIREY",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.