Active NPI 1114301165 Individual Practitioner Female Practitioner

Shelly Marie Conner , CRNP

Nurse Practitioner • Williamsport, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelly Conner, CRNP is a certified Nurse Practitioner practicing in Williamsport, PA. With approximately 11 years of clinical experience since completing medical education in 2015, Shelly Conner delivers high-quality medical care to the local community at 1100 GRAMPIAN BLVD.

Shelly Conner is affiliated with Susquehanna Physician Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Grampian Blvd

Williamsport, PA 177011907

Telephone 5703268200

Associated Practice Facility / Clinic

🏢 Cancer Treatment Associates, Pc Facility NPI 1174518328

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Williamsport, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +3.2 yrs vs City Avg

City Avg: 7.8 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

65 Specialists

Practicing in Williamsport, PA (3955 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Conner (11 Years) 11 Yrs

Williamsport Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	104	$243.64	$102.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$238.00	$104.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	90	$159.00	$61.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	76	$237.00	$90.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$238.00	$97.10
81002 Urinalysis, manual test	12	12	$20.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	271	213	$159.00	$60.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	126	$237.00	$89.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$238.00	$96.08
81002 Urinalysis, manual test	17	15	$20.00	$3.21
G0008 Administration of influenza virus vaccine	17	16	$20.88	$19.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$95.00	$36.15
90682 Influenza vaccine, quadrivalent derived from recombinant dna	14	14	$34.00	$33.32
G0009 Administration of pneumococcal vaccine	13	13	$25.00	$19.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	167	$237.00	$87.11
99213 Established patient office or other outpatient visit, typically 15 minutes	190	156	$159.00	$59.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	47	$95.00	$35.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$238.00	$94.72
81002 Urinalysis, manual test	23	23	$20.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2026-05-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP015543

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License SC 22865

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WV APRN 82589-NP-C

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License PA SP015543

Definition to come...

Hospital & Practice Group Affiliations

Susquehanna Physician Services

175 Pine St, Williamsport, PA 177016549

Phone: 5703262447

Susquehanna Physician Services

1100 Grampian Blvd, Williamsport, PA 177011907

Phone: 5703268200

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Susan Branton , MD

Surgery

NPI 1528036266

Doctor of Medicine (M.D.)

Diane Sholder , CRNP

Nurse Practitioner - Adult Health

NPI 1528319555

Certified Registered Nurse Practitioner

Dr. Timothy Pagana , MD

Surgery

NPI 1568423341

Doctor of Medicine (M.D.)

Dr. Mohammad Tahir , MD

Surgery

NPI 1588183867

Doctor of Medicine (M.D.)

Rose Czap

Nurse Practitioner - Adult Health

NPI 1780963082

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location May 29, 2026

Registered at 1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 177011907 (Tel: 5703268200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2026

Nurse Practitioner (License #SP015543 in PA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2024

Nurse Practitioner (License #22865 in SC)

📍

Updated Practice Location June 05, 2024

Registered at 900 PLAZA DR, MONTOURSVILLE, PA 177542448 (Tel: 5703683321)

👤

Provider Name / Credentials Updated June 05, 2024

Recorded as SHELLY CONNER, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2024

Nurse Practitioner (License #APRN 82589-NP-C in WV)

📍

Updated Practice Location September 26, 2019

Registered at 1268 S 4TH ST, HARTSVILLE, SC 295500703 (Tel: 8433323422)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Nurse Practitioner (License #SP015543 in PA)

✅

NPI Profile Active May 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2016

Registered at 900 PLAZA DR, MONTOURSVILLE, PA 177542448 (Tel: 5703683321)

📍

Updated Business Mailing Address May 20, 2016

Registered at 1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 177011900

👤

Provider Name / Credentials Updated May 20, 2016

Recorded as SHELLY CONNER, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2016

Nurse Practitioner (License #SP015543 in PA)

🟢

Initial NPI Registration & Enumeration July 18, 2015

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: 1114301165

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2015

Last Update: May 29, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1201 Grampian Blvd

Williamsport, PA 177011900

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.