SHANNON G MALECKI (NP) – Registered Nurse, NPI 1053950105

SHANNON G MALECKI (NP) is a healthcare provider. based in Bryn mawr, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71009668A (IN). The NPI Number for SHANNON G MALECKI (NP) is 1053950105

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON G MALECKI (NP)
NPI
1053950105
Phone
(610) 527-3800
Address
825 OLD LANCASTER RD STE 320
Enumeration Date
6 January 2020
Last Update Date
9 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2128033339
Graduation Year
2018 (8 years ago)
PAC ID
1052746997
Group Practice PAC ID
2365705696
Professional Enrollment ID
I20241220000103
Address ID
PA194062923KI216XXBLVD301

Contacts

Secure Messaging
smalecki@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:6State licenses:2Other names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for SHANNON G MALECKI (NP)

  • 825 OLD LANCASTER RD STE 320

    BRYN MAWR, PA 190103235

    Phone: (610) 527-3800

    Type: Mailing

  • 825 OLD LANCASTER RD STE 440

    BRYN MAWR, PA 190103236

    Phone: (610) 525-4511

    Fax: (610) 525-8561

    Type: Location

  • 550 UNIVERSITY BLVD STE 5630

    INDIANAPOLIS, IN 462025149

    Phone: (317) 944-8228

    Fax: (317) 274-0396

    Type: Mailing

  • 550 University Blvd Ste 5630

    Indianapolis, IN 462025149

    Phone: (317) 944-8228

    Fax: (317) 274-0396

    Type: Location

  • 2651 E Discovery Pkwy

    Bloomington, IN 474089059

    Phone: (812) 676-4444

    Fax: (812) 676-4445

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 2651 E DISCOVERY PKWY

    BLOOMINGTON, IN 474089059

    Phone: (812) 676-4444

    Fax: (812) 676-4445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $466.

Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($145).

Total Amount

$466

General + Research + Ownership

Payments

18

Total payment records

General Amount

$466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200122002749INurse PractitionerINTBD
I20241220000103INurse PractitionerPATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes193176$0
99214Established patient office or other outpatient visit, 30-39 minutes157141$0
View full utilization report →

Insurance plans in this area (ZIP 19010)

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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: 2365705696View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNY
Nurse PractitionerOH
Nurse PractitionerCT
Nurse PractitionerVT
Nurse PractitionerNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

Can I cross-check SHANNON G MALECKI (NP) using NPI 1053950105?
NPI 1053950105 belongs to SHANNON G MALECKI (NP); compare other details if you need extra assurance.
Is there an active status for SHANNON G MALECKI (NP)?
For scheduling context, SHANNON G MALECKI (NP) is shown as active in the registry.
What kind of doctor is SHANNON G MALECKI (NP)?
SHANNON G MALECKI (NP) is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Is SHANNON G MALECKI (NP) located near Bryn Mawr?
SHANNON G MALECKI (NP) currently maps to Bryn Mawr, Pennsylvania in this extract.
Does SHANNON G MALECKI (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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