Individual provider Active NPI

Kathleen Shaffer, MD

  • Emergency Medicine Physician
  • Lewistown, PA
National Provider Identifier
1912940834
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD452734 Issued in PA
Practice address
400 Highland Ave
Lewistown, PA 17044-1167
Phone
(717) 242-7185
Fax
(717) 242-7299
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD452734 PA Primary

Addresses

Primary practice location

400 Highland Ave
Lewistown, PA 17044-1167

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (717) 242-7185

Other identifiers 4

IdentifierTypeStateIssuer
102957452MedicaidPA
60059303OtherMDBLUE CROSS
409604500MedicaidMD
60050001OtherMDDC BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, TX, AL, KY, WI6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070328000677 MD Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 4 organizations
I20141014000030 PA Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 3 organizations
I20230530002881 TX Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 2 organizations
I20250611000509 AL Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 3 organizations
I20260514000149 KY Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 3 organizations
I20260601002946 WI Practitioner - Emergency Medicine 7012011265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD452734PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Observation Services LLC CurrentSince Feb 25, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince Feb 25, 2020 Accepting new patients
Geisinger Clinic CurrentSince Sep 15, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
WHC Emerg Phys CurrentSince Sep 5, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 15, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 15, 2023 Accepting new patients
Geisinger Clinic CurrentSince Sep 15, 2025 Accepting new patients
Chester River Hospital Center CurrentSince Feb 1, 2019 Accepting new patients
WHC Physician Group LLC CurrentSince Sep 5, 2018 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Apr 15, 2024 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Feb 25, 2020 Accepting new patients
Relias Emergency Medicine Specialists of Fayette, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Chester River Health Center CurrentSince Feb 1, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 15, 2025 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 15, 2025 Accepting new patients
Johns Hopkins Emergency Medical Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Cumberland Emergency Medical Group PA Emergency Medicine Past Accepting new patients
MCV Associated Physicians Emergency Medicine PastSince Sep 28, 2021 Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

900 Seton Dr
Cumberland, MD 21502
Phone (301) 723-4200

219 S Washington St
Easton, MD 21601

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

100 N Academy Ave
Danville, PA 17822

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Interoperability endpoints

  • Direct secure messaging: kshaffer1174799@meritus.direct-ci.net

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1912940834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "717-242-7185",
            "fax_number": "717-242-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441167",
            "telephone_number": "717-242-7185",
            "fax_number": "717-242-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD452734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102957452",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60059303",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409604500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BLUE CROSS",
            "identifier": "60050001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.