Individual provider Active NPI

Jennifer Nicole Shuler, CRNP

  • Adult Health Nurse Practitioner
  • Bloomsburg, PA
National Provider Identifier
1750053344
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP024362 Issued in PA
Practice address
6850 Lows Road
Suite 325B
Bloomsburg, PA 17815
Phone
(570) 317-2763
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP024362 PA Primary

Addresses

Primary practice location

6850 Lows Road
Suite 325B
Bloomsburg, PA 17815

Mailing address

6850 Lows Road
Suite 325B
Bloomsburg, PA 17815
Phone (570) 317-2763

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
I20231206003229 PA Practitioner - Nurse Practitioner 1557710266 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024362PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince May 2, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Apr 16, 2025 Accepting new patients
Hazleton Professional Services CurrentSince Nov 13, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 13, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 2, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

26 Station Cir
Hazleton, PA 18202
Phone (570) 861-8710

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

1120 Oak St
Pittston Township, PA 18640
Phone (570) 299-3384

Interoperability endpoints

  • Direct secure messaging: jennifer.shuler.1@22854.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1750053344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LOWS ROAD",
            "address_2": "SUITE 325B",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "17815",
            "telephone_number": "570-317-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS ROAD",
            "address_2": "SUITE 325B",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "17815",
            "telephone_number": "570-317-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP024362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.