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

Shelly Marie Conner, CRNP

Individual provider Nurse Practitioner · NPI 1114301165

Shelly Marie Conner, CRNP is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania, South Carolina and West Virginia.

Years since qualifying
11
Licensed in
PA, SC, WV
In the registry since
2015
Specialties on file
4
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone: (570) 326-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP015543 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 22865 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN 82589-NP-C (WV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP015543 (PA)

Record details

NPI number1114301165
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 18, 2015
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsport