Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marney Blake Shattuck, PA-C

Individual provider Physician Assistant · NPI 1568059004

Marney Blake Shattuck, PA-C is a Physician Assistant in Westborough, Massachusetts. Qualified in 2021, 5 years ago. Practices with Urgent Care Centers of Central Massachusetts LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

139 Turnpike Rd
Westborough, MA 01581-2835
Phone: (508) 882-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 421-1400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA8569 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA8569 (MA)

Record details

NPI number1568059004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Urgent Care Centers Of Central Massachusetts Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Westborough