SHELLEY ANN NICOLE PENNYCOOKE
NPI 1821297938
Emergency Medicine in Wilkes Barre, PA

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-7762(570) 808-6128 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelley Ann Nicole Pennycooke NPPES

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

SHELLEY ANN NICOLE PENNYCOOKE (NPI 1821297938) is an individual emergency medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS024274) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1821297938
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSHELLEY ANN NICOLE PENNYCOOKE
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7762 · Fax (570) 808-6128
Fax(570) 808-6128
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 18, 2007
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1821297938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS024274
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711

Other Names 1

Former Name (1)Shelley Ann Nicole Murray Do

Other Identifiers 2

OtherP00766006NJ · Rr Medicare
Medicaid0181943NJ

Accepted 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

Shelley Ann Nicole Pennycooke 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 ID1759444375
PECOS Enrollment IDI20090108000246, I20250331000261, I20251114000408
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
187 services183 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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 20

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

Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711

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 Shelley Ann Pennycooke's NPI number?

The NPI number for Shelley Ann Pennycooke is 1821297938. It was assigned to this individual provider in the NPPES registry on July 18, 2007. The provider is also known as Shelley Ann Nicole Murray Do.

Where is Shelley Ann Pennycooke located?

Shelley Ann Pennycooke practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7762.

What is Shelley Ann Pennycooke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shelley Ann Pennycooke enrolled in Medicare?

Yes. Shelley Ann Pennycooke 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 Shelley Ann Pennycooke accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas and WellSense Health Plan list Shelley Ann Pennycooke 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 Shelley Ann Pennycooke affiliated with any hospitals?

According to CMS data, Shelley Ann Pennycooke is affiliated with Central Maine Medical Center, Bridgton Hospital, Bayshore Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shelley Ann Pennycooke was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.