GWENDOLYN SHELLY R.D.
NPI 1881998128
Dietitian, Registered in Lancaster, PA

Q: What is Gwendolyn Shelly's NPI number?

The NPI number for Gwendolyn Shelly is 1881998128. It was assigned to this individual provider in the NPPES registry on December 30, 2010. The provider is also known as Gwendolyn Nissley.

Q: What is Gwendolyn Shelly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Shelly was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 30, 2010Accepts Medicare Assignment

625 S DUKE ST, LANCASTER, PA 17602(717) 299-6371 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2021, Jul 11, 2021, May 31, 2021 (3 updates tracked since 2021).

On this page

About Gwendolyn Shelly R.d. NPPES

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

GWENDOLYN SHELLY R.D. (NPI 1881998128) is an individual dietitian, registered in Lancaster, Pennsylvania, licensed in Pennsylvania (DN007411) and active in the NPI registry since December 2010. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1881998128

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameGWENDOLYN SHELLYCredential: R.D.

Location Address625 S DUKE STLancaster, PA 17602-4509

Mailing Address304 N Water StLancaster, PA 17603-3374 · (717) 299-6372 · Fax (717) 325-8057

Phone(717) 299-6371

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateDecember 30, 2010

Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1881998128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in PA · DN007411✔ Licensed in NY · 000747-1

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

625 S DUKE ST, Lancaster, PA 17602

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Other Names 1

Former Name (1)Gwendolyn Nissley

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Gwendolyn Shelly R.d. 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 ID3971785106

PECOS Enrollment IDI20210604000797

Medicare Billing Reassignment

Medicare enrollment records show Gwendolyn Shelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union Community Care

Same address

Federally Qualified Health Center (FQHC)

625 S DUKE ST
Lancaster, PA 17602

Reassigned Medicare billing, Pennsylvania enrollment
94 clinicians in this Medicare group

NPI 1801853346 (717) 299-6371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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

$0.00 typical visit price

range $54.64 – $166.87

Typical copayment $0.00 (range $13.66 – $41.71)

Most-billed visit code NA

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.

REBECCA AMY NEHRING CRNP

Nurse Practitioner (Family)