Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588389027 Individual Practitioner Female Practitioner

Kimberly Grace Shaffer , FNP-C, CRNP

Nurse Practitioner - Primary Care • Scranton, PA

Professional Overview & Biography Verified Profile Summary

Kimberly Shaffer, FNP-C, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Scranton, PA. Practice services are available at 820 S WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 S Washington Ave

Scranton, PA 185051639

Telephone 5705614472
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Scranton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Scranton, PA (484 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-13
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License PA SP026314

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License PA F08220620

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Mia Lin , CRNP

Nurse Practitioner

NPI 1093303745

Certified Registered Nurse Practitioner

Susan Petokas , CRNP

Nurse Practitioner

NPI 1467767590

Certified Registered Nurse Practitioner

NPI 1497578124

Licensed Social Worker

Kristen Jenkins , CRNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1508985268

Certified Registered Nurse Practitioner

Jane Martin

Dietitian, Registered

NPI 1528818499
Lori Phillips , RN

Registered Nurse

NPI 1659190221

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 13, 2024

Registered at 820 S WASHINGTON AVE, SCRANTON, PA 185051639 (Tel: 5705614472)

NPI Profile Active October 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2022

Registered at 640 MADISON AVE, SCRANTON, PA 185101631 (Tel: 5705614472)

📍
Updated Business Mailing Address October 06, 2022

Registered at 127 ORCHARD DR, JEFFERSON TOWNSHIP, PA 184367708 (Tel: 5705614472)

👤
Provider Name / Credentials Updated October 06, 2022

Recorded as KIMBERLY SHAFFER, FNP-C, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2022

Nurse Practitioner (License #F08220620 in PA)

🟢
Initial NPI Registration & Enumeration October 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588389027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2022
Last Update: September 13, 2024
Sole Proprietor: No

Mailing Address

127 Orchard Dr

Jefferson Township, PA 184367708

Phone: 5705614472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.