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

Q: 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.

Q: What is Shannon Malecki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Malecki was last updated on August 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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

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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)