MARNEY BLAKE SHATTUCK PA-C
NPI 1568059004
Physician Assistant - Medical in Westborough, MA

Q: What is Marney Shattuck's NPI number?

The NPI number for Marney Shattuck is 1568059004. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Q: What is Marney Shattuck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Marney Shattuck was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 30, 2020PECOS EnrolledAccepts Medicare Assignment

139 TURNPIKE RD, WESTBOROUGH, MA 01581(508) 882-7300 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, Nov 17, 2023, Apr 15, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Marney Blake Shattuck Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARNEY BLAKE SHATTUCK PA-C (NPI 1568059004) is an individual medical provider in Westborough, Massachusetts, licensed in Massachusetts (PA8569) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1568059004

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARNEY BLAKE SHATTUCKCredential: PA-C

Location Address139 TURNPIKE RDWestborough, MA 01581-2835

Mailing Address360 Us Highway 1 Byp Unit 102Portsmouth, NH 03801-7105 · (603) 410-6700 · Fax (603) 319-8308

Phone(508) 882-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 30, 2020

Last NPPES UpdateMay 14, 20244 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1568059004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MA · PA8569

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA8569 (MA)

139 TURNPIKE RD, Westborough, MA 01581

Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 421-1400 · Fax (508) 421-1490

Other Identifiers 1

Medicaid110183157AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Marney Blake Shattuck Pa-c 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 ID6305231218

PECOS Enrollment IDI20220311000279

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 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services15 patients

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.

28 services27 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

19 services19 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Leave this field empty

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.

JARRETT MATTHEW BURR PA-C

Physician Assistant