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SHIELA MARIE HOPKINS CRNP-PMHNP-BC
NPI 1568125672
Nurse Practitioner - Psychiatric/Mental Health in Bigler, PA

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
50 BIGLER ROAD, BIGLER, PA 16825(814) 342-5678 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shiela Marie Hopkins Crnp-pmhnp-bc NPPES

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

SHIELA MARIE HOPKINS CRNP-PMHNP-BC (NPI 1568125672) is an individual psychiatric/mental health provider in Bigler, Pennsylvania, licensed in Pennsylvania (SP024377) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568125672
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHIELA MARIE HOPKINSCredential: CRNP-PMHNP-BC
Location Address50 BIGLER ROADBigler, PA 16825-1683
Mailing Address213 Spruce StRidgway, PA 15853-1819
Phone(814) 342-5678
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1568125672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP024377
50 BIGLER ROAD, Bigler, PA 16825
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Shiela Marie Hopkins Crnp-pmhnp-bc 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 ID8426446261
PECOS Enrollment IDI20211027000641
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
40 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16825 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARBY J KLAIBER LPC, NCC
Counselor (Professional)
50 BIGLER ROAD
BIGLER, PA 16825
Clearfield County (814) 342-5678
LAWRENCE D LOVELAND LPC
Counselor (Professional)
50 BIGLER ROAD
BIGLER, PA 16825
Clearfield County (814) 342-5678

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 Shiela Hopkins's NPI number?

The NPI number for Shiela Hopkins is 1568125672. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Shiela Hopkins located?

Shiela Hopkins practices at 50 Bigler Road, Bigler, PA 16825. The listed phone number is (814) 342-5678.

What is Shiela Hopkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shiela Hopkins enrolled in Medicare?

Yes. Shiela Hopkins 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.

What insurance does Shiela Hopkins accept?

Health plans from Providence Health Plan list Shiela Hopkins 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.

When was this NPI record last updated?

The NPPES record for Shiela Hopkins was last updated on October 15, 2021. 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.