SHAE LYNN MEDENDORP
NPI 1902705478
Nurse Practitioner - Neonatal, Critical Care in Philadelphia, PA
About Shae Lynn Medendorp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAE LYNN MEDENDORP (NPI 1902705478) is an individual neonatal, critical care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP037248) and active in the NPI registry since November 2026.
NPPES Registry Identity
Specialties & Licenses
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Shae Lynn Medendorp's NPI number?
The NPI number for Shae Lynn Medendorp is 1902705478. It was assigned to this individual provider in the NPPES registry on November 2, 2026.
Where is Shae Lynn Medendorp located?
Shae Lynn Medendorp practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Shae Lynn Medendorp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
When was this NPI record last updated?
The NPPES record for Shae Lynn Medendorp was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Shae Lynn Medendorp · NPI 1902705478
Neonatal, Critical Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 2, 2026.
## Identity
- **NPI:** 1902705478 (Entity type: Individual)
- **Enumerated:** November 2, 2026
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** SP037248 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Record status
- **NPPES last updated:** November 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902705478) · Data from the CMS NPPES public registry.