Carly Jo Shaffer, PA-C
Physician Assistant in Saint Marys, PA. Individual provider (NPI-1).
NPI number1053243147
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1053243147
- Entity type
- Individual (NPI-1)
- Name
- Carly Jo Shaffer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
763 Johnsonburg RdSaint Marys, PA 15857-3417
Phone 814-788-8000
Mailing address
1375 Horner RdWilcox, PA 15870-3027
Phone 814-598-4007
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Physician Assistant providers in Saint Marys · All 286 providers in Saint Marys
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