Holly Shadle
NPI 1235631490ActiveIndividual· Nurse Practitioner, Family· Williamsport, PA
Nurse Practitioner, Family with Phoenix Rehabilitation and Health Services Inc and 1 other group, practicing in Williamsport, Pennsylvania. 238 Medicare patients in 2024, $28,250 paid; all of their 277 Part D prescriptions were generic. Lists Upmc Williamsport and 1 other hospital as hospital affiliations.
Overview
| NPI | 1235631490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 5, 2018 |
| Last updated in NPPES | Feb 7, 2022 |
| Certified by provider | Feb 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP018629 | 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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 358 across 18 procedure codes |
| Paid by Medicare | $28,250 |
Part D prescriptions in 2024
| Prescriptions (claims) | 277 · 310 30-day fills |
|---|---|
| Patients | 127 |
| Total drug cost | $1,885 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
- Susquehanna Physician ServicesWilliamsport, PA · 612 clinicians
Hospital affiliations
- Upmc WilliamsportWilliamsport, PA
- Wellspan Evangelical Community HospitalLewisburg, 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 15 family nurse practitioners in Williamsport · All family nurse practitioners in Pennsylvania