HOLLY SHADLE
NPI 1235631490
Nurse Practitioner - Family in Williamsport, PA
About Holly Shadle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY SHADLE (NPI 1235631490) is an individual family provider in Williamsport, Pennsylvania, licensed in Pennsylvania (SP018629) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Holly Shadle 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Williamsport
Acute Care Hospitals · Williamsport, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WILLIAMSPORT, PA 17701
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 Holly Shadle's NPI number?
The NPI number for Holly Shadle is 1235631490. It was assigned to this individual provider in the NPPES registry on March 5, 2018.
Where is Holly Shadle located?
Holly Shadle practices at 740 High St Suite 3002, Williamsport, PA 17701. The listed phone number is (570) 321-2820.
What is Holly Shadle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Shadle enrolled in Medicare?
Yes. Holly Shadle 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.
Is Holly Shadle affiliated with any hospitals?
According to CMS data, Holly Shadle is affiliated with Upmc Williamsport.
When was this NPI record last updated?
The NPPES record for Holly Shadle was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Holly Shadle · NPI 1235631490
Family physician in Williamsport, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 5, 2018.
## Identity
- **NPI:** 1235631490 (Entity type: Individual)
- **Enumerated:** March 5, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP018629 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 740 HIGH ST, SUITE 3002, Williamsport, PA 17701-3102
- **Phone:** (570) 321-2820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235631490) · Data from the CMS NPPES public registry.