Individual provider Active NPI

Kelsy Shoap, PA-C

  • Physician Assistant
  • Media, PA
National Provider Identifier
1982247078
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061220 Issued in PA
Practice address
1118 W Baltimore Pike FL 3
Media, PA 19063-6104
Phone
(267) 339-3647
Fax
(267) 339-3647
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061220 PA Primary

Addresses

Primary practice location

1118 W Baltimore Pike FL 3
Media, PA 19063-6104

Mailing address

1118 W Baltimore Pike FL 3
Media, PA 19063-6104

Other practice location 1

234 Mall Blvd Ste G30
King Of Prussia, PA 19406-2921
Phone (267) 339-3647

Other practice location 2

400 Enterprise Dr Fl 2
Royersford, PA 19468-1218
Phone (267) 339-3647

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
I20200117001611 PA Practitioner - Physician Assistant 7517392699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

400 Enterprise Dr
FL 2
Limerick, PA 19468-1218
Phone (800) 321-9999

510 Township Line Rd
FL 1
Blue Bell, PA 19422-2721
Phone (800) 321-9999

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 3, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 3, 2021 Accepting new patients

Locations

234 Mall Blvd
Ste G30
King of Prussia, PA 19406
Phone (267) 339-3647

1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

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.

Hospital & facility affiliations 2

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1982247078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE FL 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE FL 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636104",
            "telephone_number": "267-339-3647",
            "fax_number": "267-339-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Mall Blvd Ste G30",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062921",
            "country_code": "US",
            "telephone_number": "267-339-3647",
            "fax_number": "267-339-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Enterprise Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Royersford",
            "state": "PA",
            "postal_code": "194681218",
            "country_code": "US",
            "telephone_number": "267-339-3647",
            "fax_number": "267-339-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOAP",
        "first_name": "KELSY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.