MRS. SHAUNTARA ANN ANGELO CRNP
NPI 1225520661
Nurse Practitioner - Pediatrics in Carlisle, PA
About Mrs. Shauntara Ann Angelo Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHAUNTARA ANN ANGELO CRNP (NPI 1225520661) is an individual pediatrics provider in Carlisle, Pennsylvania, licensed in Pennsylvania (SP018809) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Shauntara Ann Angelo Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shauntara Angelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carlisle, PA 17015
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CARLISLE, PA 17015
CARLISLE, PA 17015
CARLISLE, PA 17015
CARLISLE, PA 17015
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 Shauntara Angelo's NPI number?
The NPI number for Shauntara Angelo is 1225520661. It was assigned to this individual provider in the NPPES registry on June 1, 2018.
Where is Shauntara Angelo located?
Shauntara Angelo practices at 361 Alexander Spring Rd, Carlisle, PA 17015. The listed phone number is (717) 960-3414.
What is Shauntara Angelo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Shauntara Angelo enrolled in Medicare?
Yes. Shauntara Angelo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shauntara Angelo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shauntara Angelo reassigns Medicare benefits to Pinnacle Health Medical Services (Carlisle, PA). The 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 Shauntara Angelo'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 Shauntara Angelo was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Shauntara Ann Angelo, CRNP · NPI 1225520661
Pediatrics physician in Carlisle, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 1, 2018.
## Identity
- **NPI:** 1225520661 (Entity type: Individual)
- **Enumerated:** June 1, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP018809 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 361 ALEXANDER SPRING RD, Carlisle, PA 17015-6940
- **Phone:** (717) 960-3414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pinnacle Health Medical Services (NPI 1477432870, Carlisle, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2024
- **Other identifiers:** Other SP018809 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225520661) · Data from the CMS NPPES public registry.