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

Shelley Ann Nicole Pennycooke

Individual provider Emergency Medicine Physician · NPI 1821297938

Shelley Ann Nicole Pennycooke is an Emergency Medicine in Wilkes Barre, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Emergency Physician Associates of North Jersey P C, a 126-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2007
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Practice location Address checks out

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone: (570) 808-7762
Fax: (570) 808-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS024274 (PA)

Record details

NPI number1821297938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Emergency Physician Associates Of North Jersey P C — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wilkes Barre