Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Shaffer, CRNP

Individual provider Nurse Practitioner · NPI 1104857093

Nicole Shaffer, CRNP is a Nurse Practitioner in Lititz, Pennsylvania. Qualified in 1998, 28 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

6 W Newport Rd
Lititz, PA 17543-7774
Phone: (717) 627-2108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence TP005118B (PA)

Record details

NPI number1104857093
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6 W Newport Rd, Lititz, PA 17543-7774

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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