MS. SHANTEL LORRAINE POLCHLOPEK (PA-C) – Physician Assistant, NPI 1780928499
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MS. SHANTEL LORRAINE POLCHLOPEK (PA-C)
1000 Crawford Pl Ste 160
Mount Laurel, NJ 080543960
Phone: (888) 982-8594
Type: Location
500 Cheyney Road
Glen Mills, PA 19373
Phone: (610) 361-3307
Type: Location
51 N 39TH ST
STE W130
PHILADELPHIA, PA 191042640
Phone: (208) 220-2091
Type: Mailing
500 CHEYNEY ROAD
GLEN MILLS, PA 19373
Phone: (610) 361-3307
Type: Location
PO BOX 159
BARRINGTON, NJ 080070159
Phone: (888) 982-8594
Type: Mailing
410 N KROCKS RD
ALLENTOWN, PA 181069283
Phone: (888) 982-8594
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Novo Nordisk Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $14 |
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: 2023-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140711000602 | I | Physician Assistant | PA | TBD |
| I20231017001016 | I | Physician Assistant | NJ | TBD |
| I20231017002083 | I | Physician Assistant | DE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 537 | 51 | $0 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 206 | 53 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 171 | 80 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 99 | 64 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 83 | 43 | $0 |
Insurance plans in this area (ZIP 08054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NM | |
| Physician Assistant | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | SC | |
| Physician Assistant | NY | |
| Nurse Practitioner | NJ | |
| Physician Assistant | PA | |
| - | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | DE |
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