Individual provider Active NPI

Heather Elaine Shuker, CRNP

  • Family Nurse Practitioner
  • Pottsville, PA
National Provider Identifier
1740823368
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020686 Issued in PA
Practice address
205 E Laurel Blvd
Pottsville, PA 17901-2534
Phone
(570) 624-4743
Fax
(570) 501-7028
NPI assigned
Oct 27, 2019
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020686 PA Primary

Addresses

Primary practice location

205 E Laurel Blvd
Pottsville, PA 17901-2534

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

4603 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 750-3895

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
I20191211000020 PA Practitioner - Nurse Practitioner 0042643702 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Tower Health Urgent Care, LLC CurrentSince Dec 15, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 16, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 16, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Nov 18, 2019 Accepting new patients
Berks Community Health Center CurrentSince Mar 27, 2020 Accepting new patients
Berks Community Health Center CurrentSince Mar 27, 2020 Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 215
Allentown, PA 18103
Phone (610) 402-6986

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

205 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 622-1887

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

4603 Perkiomen Ave
Reading, PA 19606
Phone (484) 628-5277

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1740823368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAUREL BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012534",
            "telephone_number": "570-624-4743",
            "fax_number": "570-501-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4603 Perkiomen Ave",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196063217",
            "country_code": "US",
            "telephone_number": "484-750-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKER",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.