Individual provider Active NPI

Allison Taylor Shuke, PA-C

  • Medical Physician Assistant
  • New Paris, PA
National Provider Identifier
1790415487
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063588 Issued in PA
Practice address
4186 Cortland Dr
New Paris, PA 15554-7706
Phone
(814) 839-4108
NPI assigned
Jun 15, 2022
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063588 PA Primary

Addresses

Primary practice location

4186 Cortland Dr
New Paris, PA 15554-7706

Mailing address

4186 Cortland Dr
New Paris, PA 15554-7706
Phone (814) 839-4108

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
I20230227001781 PA Practitioner - Physician Assistant 7517330350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Valley Physician Services PLLCGroup PAC ID 4385028034, 9 clinicians
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, shared by 7 NPIs, 286 clinicians
Henry W Shoenthal MD IncGroup PAC ID 7810281946, 9 clinicians

Practice addresses (Care Compare)

4186 Cortland Dr
New Paris, PA 15554-7706
Phone (814) 839-4108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA063588PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1790415487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 CORTLAND DR",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155547706",
            "telephone_number": "814-839-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKE",
        "first_name": "ALLISON",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paris, PA

Sources for this page

Verify at the official NPI Registry.