TRACEY MARIE SHIVOK-JEFFERSON NP-C
NPI 1053699025
Nurse Practitioner - Family in Harrisburg, PA

Q: What is Tracey Shivok-jefferson's NPI number?

The NPI number for Tracey Shivok-jefferson is 1053699025. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Q: What is Tracey Shivok-jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

600 N 2ND ST STE 401, HARRISBURG, PA 17101(860) 788-6404 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Tracey Marie Shivok-jefferson Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY MARIE SHIVOK-JEFFERSON NP-C (NPI 1053699025) is an individual family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP011299) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053699025

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACEY MARIE SHIVOK-JEFFERSONCredential: NP-C

Location Address600 N 2ND ST STE 401Harrisburg, PA 17101-1071

Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404

Phone(860) 788-6404

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 25, 2011

Last NPPES UpdateJune 3, 2024

NPPES CertifiedJune 3, 2024

✔ NPI 1053699025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP011299

600 N 2ND ST STE 401, Harrisburg, PA 17101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Marie Shivok-jefferson Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557528957

PECOS Enrollment IDI20120213000273

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tracey Shivok-jefferson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meditelecare Of Pennsylvania LLC

Same address

Clinical

600 N 2ND ST STE 401
Harrisburg, PA 17101

Reassigned Medicare billing, Pennsylvania enrollment
66 clinicians in this Medicare group

NPI 1396351847 (860) 788-6404

Medoptions Of Kentucky LLC

452 mi

Psychiatry

421 W MAIN ST
Frankfort, KY 40601

Reassigned Medicare billing, Kentucky enrollment
12 clinicians in this Medicare group

NPI 1518412121 (860) 788-6404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

1,001 services182 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

679 services137 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

289 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

95 services95 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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