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SHANNON G MALECKI NP
NPI 1053950105
Registered Nurse in Bryn Mawr, PA

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
825 OLD LANCASTER RD STE 440, BRYN MAWR, PA 19010(610) 525-4511(610) 525-8561 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2025, Sep 12, 2022, Jan 6, 2020 (3 updates tracked since 2020).

About Shannon G Malecki Np NPPES

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

SHANNON G MALECKI NP (NPI 1053950105) is an individual registered nurse in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (SP031210) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053950105
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSHANNON G MALECKICredential: NP
Location Address825 OLD LANCASTER RD STE 440Bryn Mawr, PA 19010-3236
Mailing Address825 Old Lancaster Rd Ste 320Bryn Mawr, PA 19010-3235 · (610) 527-3800
Phone(610) 525-4511
Fax(610) 525-8561
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 6, 2020
Last NPPES UpdateAugust 9, 20253 updates tracked since enumeration
NPPES CertifiedAugust 9, 2025
✔ NPI 1053950105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in PA · SP031210
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71009668A (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71009668A (IN)
825 OLD LANCASTER RD STE 440, Bryn Mawr, PA 19010
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Secondary Practice Locations 2

Location 1550 University Blvd Ste 5630Indianapolis, IN 46202-5149 · Phone (317) 944-8228 · Fax (317) 274-0396
Location 22651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 676-4444 · Fax (812) 676-4445

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

Shannon G Malecki Np 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 ID1052746997
PECOS Enrollment IDI20241220000103
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

4

Medicare enrollment records show Shannon Malecki reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bryn Mawr Medical Specialists Association
Same address
Multi-Specialty
825 OLD LANCASTER RD, SUITE 320
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 171 clinicians in this Medicare group
NPI 1841226099 (610) 527-3800
Mission Medical Care PC
99 mi
Internal Medicine
265 SUNRISE HWY STE 1-274
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 18 clinicians in this Medicare group
NPI 1750898565 (212) 803-3339
Indiana University Health Care Associates, Inc.
576 mi
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1679949002 (317) 944-3500
Indiana University Health Southern Indiana Physicians, LLC
597 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252

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 2

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.

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.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services25 patients

Other Providers at the Same Location NPPES 10

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

DR. JOHN GERARD DEVLIN JR. M.D.
Internal Medicine (Hematology & Oncology)
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
BRITTANY ROSE WINTER
Nurse Practitioner
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
MRS. MARIE CATHERINE SCUTTI CRNP
Nurse Practitioner
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
CHLOE PERATE PA-C
Physician Assistant
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
NICOLE M STOUT CRNP
Nurse Practitioner
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
ERIC FOX
Internal Medicine (Hematology & Oncology)
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
RACHEL ADELE JOHNSON PA-C
Physician Assistant
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511
LORI N HARMER CRNP
Nurse Practitioner
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 19010
Delaware County (610) 525-4511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Malecki's NPI number?

The NPI number for Shannon Malecki is 1053950105. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Shannon Malecki located?

Shannon Malecki practices at 825 Old Lancaster Rd Ste 440, Bryn Mawr, PA 19010. The listed phone number is (610) 525-4511.

What is Shannon Malecki's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Shannon Malecki enrolled in Medicare?

Yes. Shannon Malecki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shannon Malecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Malecki reassigns Medicare benefits to 4 organizations: Bryn Mawr Medical Specialists Association (Bryn Mawr, PA), Mission Medical Care PC (Rockville Centre, NY), Indiana University Health Care Associates, Inc. (Indianapolis, IN) and Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Malecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Malecki was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.