NOELLA YEFON SHADZEKA (PA) – Medical Physician Assistant, NPI 1407143993

NOELLA YEFON SHADZEKA (PA) is a healthcare provider. based in Salisbury, Maryland. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. C04491 (MD). The NPI Number for NOELLA YEFON SHADZEKA (PA) is 1407143993

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NOELLA YEFON SHADZEKA (PA)
NPI
1407143993
Phone
(800) 749-5191
Address
100 E CARROLL ST
Enumeration Date
5 July 2011
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105435452
Graduation Year
2011 (15 years ago)
PAC ID
3971775388
Group Practice PAC ID
3072509702
Professional Enrollment ID
I20161221001305

Contacts

Secure Messaging
nshadzeka241079@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

Provider Addresses for NOELLA YEFON SHADZEKA (PA)

  • 100 E CARROLL ST

    SALISBURY, MD 218015422

    Phone: (800) 749-5191

    Type: Mailing

  • 4100 COLLEGE AVE

    ELLICOTT CITY, MD 210435506

    Phone: (443) 364-5500

    Type: Location

  • 361 Alexander Spring Rd

    Carlisle, PA 170156940

    Phone: (717) 231-8772

    Fax: (717) 231-8435

    Type: Location

  • 4100 College Ave

    Ellicott City, MD 210435506

    Phone: (443) 364-5500

    Type: Location

  • 500 UNIVERSITY DR MC CA410

    HERSHEY, PA 170332360

    Phone: (717) 531-5208

    Fax: (717) 531-0119

    Type: Mailing

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (717) 531-8521

    Fax: (717) 531-5068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111007000102IPhysician AssistantDCTBD
I20161221001305IPhysician AssistantMDTBD
I20221209000784IPhysician AssistantIATBD
I20230221003290IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3015$0
View full utilization report →

Insurance plans in this area (ZIP 21801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072509702View full group profile

Reviews

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Frequently asked questions

Is NOELLA YEFON SHADZEKA (PA) listed with a National Provider Identifier?
Yes — NOELLA YEFON SHADZEKA (PA) has NPI 1407143993 on file in the registry.
Is there an active status for NOELLA YEFON SHADZEKA (PA)?
For scheduling context, NOELLA YEFON SHADZEKA (PA) is shown as active in the registry.
How would a patient describe NOELLA YEFON SHADZEKA (PA)'s focus?
For NOELLA YEFON SHADZEKA (PA), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with NOELLA YEFON SHADZEKA (PA)?
Directory geography for NOELLA YEFON SHADZEKA (PA) centers on Salisbury, Maryland.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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