Individual provider Active NPI

Shawna J McElroy, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1861891285
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
149991 Issued in AK
Practice address
1389 Huffman Road
#150
Anchorage, AK 99515
Phone
(888) 227-3312
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0004060 CO
Physician Assistant 363A00000X 149991 AK Primary

Addresses

Primary practice location

1389 Huffman Road
#150
Anchorage, AK 99515

Mailing address

1389 Huffman Road
#150
Anchorage, AK 99515
Phone (888) 227-3312

Other practice location 1

308 Main Street
Olathe, CO 81425-0529
Phone (970) 323-6141

Other identifiers 3

IdentifierTypeStateIssuer
652152653OtherCOMEDICARE B FOR RVFHC
P01530405OtherCORAILROAD WORKERS MEDICARE FOR RVFHC
69258864MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smcelroy1175717@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20200220000791 AK Practitioner - Physician Assistant 6608198478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0004060COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Dec 27, 2024 Accepting new patients
Norton Sound Health Corporation Physician Assistant CurrentSince Dec 27, 2024 Accepting new patients
Glacier Point Chiropractic PastSince Jan 19, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smcelroy1175717@ak.providencedirect.org

Organizations & group practices 3

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1861891285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN ROAD",
            "address_2": "#150",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 HUFFMAN ROAD",
            "address_2": "#150",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Main Street",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "CO",
            "postal_code": "814250529",
            "country_code": "US",
            "telephone_number": "970-323-6141",
            "fax_number": "970-323-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "SHAWNA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004060",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "149991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FOR RVFHC",
            "identifier": "652152653",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE FOR RVFHC",
            "identifier": "P01530405",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69258864",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcelroy1175717@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "1861 E Parks Hwy",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.