MRS. SHAUNTARA ANN ANGELO CRNP
NPI 1225520661
Nurse Practitioner - Pediatrics in Carlisle, PA

Q: 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.

Q: What is Shauntara Angelo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shauntara Angelo was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2018PECOS Enrolled

361 ALEXANDER SPRING RD, CARLISLE, PA 17015(717) 960-3414 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2021, May 27, 2021, Jul 8, 2020 (3 updates tracked since 2020).

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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

NPI1225520661

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. SHAUNTARA ANN ANGELOCredential: CRNP

Location Address361 ALEXANDER SPRING RDCarlisle, PA 17015-6940

Mailing Address361 Alexander Spring RdCarlisle, PA 17015-6940 · (717) 960-1687 · Fax (717) 960-3487

Phone(717) 960-3414

Sole ProprietorNo

Enumeration DateJune 1, 2018

Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1225520661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in PA · SP018809

Also ListedPediatricsTaxonomy 208000000X · License SP018809 (PA)

361 ALEXANDER SPRING RD, Carlisle, PA 17015

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Secondary Practice Locations 2

Location 12106 Harrisburg PikeLancaster, PA 17601-2644 · Phone (717) 291-5931

Location 2222 Willow Valley Lakes Dr Ste 100Willow Street, PA 17584-9671 · Phone (717) 291-5931

Other Identifiers 1

OtherSP018809PA · Crnp License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shauntara Ann Angelo Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

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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.

DEBORAH BIDDLE CRNA

Nurse Anesthetist, Certified Registered