MARGARET SHANLEY MD
NPI 1346245909
Family Medicine in North East, PA
About Margaret Shanley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGARET SHANLEY MD (NPI 1346245909) is an individual family medicine provider in North East, Pennsylvania, licensed in Pennsylvania (MD060708L) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Connecticut School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
Accepted Insurance
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
Margaret Shanley Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Margaret Shanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oxford, NC 27565
- Reassigned Medicare billing, North Carolina enrollment
- 636 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.
Areas of Expertise CMS Part B claims 8
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCGranville Health Systems
Acute Care Hospitals · Oxford, NCMaria Parham Medical Center
Acute Care Hospitals · Henderson, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH EAST, PA 16428
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 Margaret Shanley's NPI number?
The NPI number for Margaret Shanley is 1346245909. It was assigned to this individual provider in the NPPES registry on June 20, 2005.
Where is Margaret Shanley located?
Margaret Shanley practices at 2060 N Pearl St, North East, PA 16428. The listed phone number is (814) 877-7711.
What is Margaret Shanley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Margaret Shanley enrolled in Medicare?
Yes. Margaret Shanley 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 organization bills Medicare for Margaret Shanley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Shanley reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Oxford, NC). 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 Margaret Shanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Margaret Shanley accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Margaret Shanley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Margaret Shanley affiliated with any hospitals?
According to CMS data, Margaret Shanley is affiliated with Duke University Hospital, Granville Health Systems, Maria Parham Medical Center and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Margaret Shanley was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Margaret Shanley, MD · NPI 1346245909
Family Medicine physician in North East, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 20, 2005.
## Identity
- **NPI:** 1346245909 (Entity type: Individual)
- **Enumerated:** June 20, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD060708L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2060 N PEARL ST, North East, PA 16428-1926
- **Phone:** (814) 877-7711 · **Fax:** (814) 877-7715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Duke University Affiliated Physicians, Inc. (NPI 1124057484, Oxford, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** November 19, 2014
- **Other identifiers:** Other 0949874 (PA); Other 212674; Other P000143 (PA); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1346245909) · Data from the CMS NPPES public registry.