RANDI L. SHUPP PA-C
NPI 1831183854
Physician Assistant - Medical in Allentown, PA

Active since September 06, 2005PECOS Enrolled
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104(610) 973-6200(610) 973-6546 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randi L. Shupp Pa-c NPPES

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

RANDI L. SHUPP PA-C (NPI 1831183854) is an individual medical provider in Allentown, Pennsylvania, licensed in Pennsylvania (MA051867) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831183854
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRANDI L. SHUPPCredential: PA-C
Location Address250 CETRONIA ROAD, SUITE 303Allentown, PA 18104-9168
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Fax(610) 973-6546
Sole ProprietorNo
Enumeration DateSeptember 6, 2005
Last NPPES UpdateDecember 23, 2015
NPI 1831183854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA051867
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA051867 (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA051867 (PA)
250 CETRONIA ROAD, Allentown, PA 18104

Other Names 1

Former Name (1)Randi L. Kluemper Rath Pa-c

Other Identifiers 4

Other50053681PA · Keystone Central
Other50053681PA · Blue Cross
Medicare UPINQ38521PA
Medicare ID-Type Unspecified088965PA

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 (PECOS)

Randi L. Shupp Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Orthopaedic Surgery (Sports Medicine)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Anesthesiology (Pain Medicine)
250 CETRONIA ROAD
ALLENTOWN, PA 18104
Occupational Therapist (Hand)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104

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 Randi Shupp's NPI number?

The NPI number for Randi Shupp is 1831183854. It was assigned to this individual provider in the NPPES registry on September 6, 2005. The provider is also known as Randi L. Kluemper Rath Pa-C.

Where is Randi Shupp located?

Randi Shupp practices at 250 Cetronia Road Suite 303, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Randi Shupp's specialty?

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

Is Randi Shupp enrolled in Medicare?

Yes. Randi Shupp is registered in the Medicare PECOS enrollment system.

What insurance does Randi Shupp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Randi Shupp 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 Randi Shupp was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.