Individual provider Active NPI

Shawn Anthony Panella, CRNP

  • Family Nurse Practitioner
  • New Castle, PA
National Provider Identifier
1922662022
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020249 Issued in PA
Practice address
2602 Wilmington Rd Ste 200
New Castle, PA 16105-1538
Phone
(724) 657-3204
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020249 PA Primary

Addresses

Primary practice location

2602 Wilmington Rd Ste 200
New Castle, PA 16105-1538

Mailing address

2522 Old Pittsburgh Rd
New Castle, PA 16101-6094
Phone (724) 698-3813

Other practice location 1

1211 Wilmington Ave
New Castle, PA 16105-2516
Phone (724) 658-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020249PAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1922662022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 OLD PITTSBURGH RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161016094",
            "telephone_number": "724-698-3813",
            "fax_number": "781-209-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051538",
            "telephone_number": "724-657-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161052516",
            "country_code": "US",
            "telephone_number": "724-658-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANELLA",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.