Individual provider Active NPI

Kelly Ann Shoemaker, FNP-C

  • Family Nurse Practitioner
  • MC Murray, PA
National Provider Identifier
1922476266
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015319 Issued in PA
Practice address
3906 Washington Rd
MC Murray, PA 15317-2538
Phone
(412) 684-4478
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010406 NC
Adult Health Nurse Practitioner 363LA2200X APRN11044916 FL
Family Nurse Practitioner 363LF0000X SP015319 PA Primary
Family Nurse Practitioner 363LF0000X 0024175650 VA

Addresses

Primary practice location

3906 Washington Rd
MC Murray, PA 15317-2538

Mailing address

3906 Washington Rd
MC Murray, PA 15317-2538
Phone (412) 684-4478

Other practice location 1

5112 N Croatan Hwy
Kitty Hawk, NC 27949-3988
Phone (252) 449-7474

Other practice location 2

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other practice location 3

52 Underwood St
Orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 4

1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151110000890 PA Practitioner - Nurse Practitioner 6406166123 Reassigns benefits to 2 organizations
I20180207002801 VA Practitioner - Nurse Practitioner 6406166123 Reassigns benefits to 1 organization
I20180822002413 NC Practitioner - Nurse Practitioner 6406166123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198

25 Monument Rd
York, PA 17403-5073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5010406NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Sentara Medical Group CurrentSince Apr 11, 2020 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jun 19, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Nov 10, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Oct 1, 2023 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jun 19, 2018 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 10, 2025 Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

5112 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 449-7474

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1300 Sentara Park
#3
Virginia Beach, VA 23464
Phone (757) 252-3050

5460 Wesleyan Dr
Virginia Beach, VA 23455
Phone (757) 252-3050

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: kelly.shoemaker.1@14940.direct.athenahealth.com

Organizations & group practices 8

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1922476266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172538",
            "telephone_number": "412-684-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172538",
            "telephone_number": "412-684-4478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493988",
            "country_code": "US",
            "telephone_number": "252-449-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sentara Park # 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645884",
            "country_code": "US",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "888-805-0085",
            "fax_number": "312-896-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "877-232-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010406",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11044916",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015319",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.