Tracey Marie Shivok-Jefferson, NP-C
NPI 1053699025ActiveIndividual· Nurse Practitioner, Family· Harrisburg, PA
Nurse Practitioner, Family (NP-C) with Meditelecare of Pennsylvania LLC, practicing in Harrisburg, Pennsylvania. Medicare paid $129,038 for services to 254 patients in 2024.
Overview
| NPI | 1053699025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Jul 25, 2011 |
| Last updated in NPPES | Jun 3, 2024 |
| Certified by provider | Jun 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP011299 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KY); Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 2,187 across 9 procedure codes |
| Paid by Medicare | $129,038 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Meditelecare of Pennsylvania LLCHarrisburg, PA · 25 clinicians
Other facilities
- Laurel Ridge CenterNursing home · Uniontown, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 156 family nurse practitioners in Harrisburg · All family nurse practitioners in Pennsylvania