Active NPIIndividual providerSole proprietor

Courtney P Shupp, PA-C

Physician Assistant in Easton, Pennsylvania

NPI Number1235828971
Practice location
2200 St Lukes Blvd Ste 100, Easton, PA 18045-5665
Fax
—
Last updated
November 5, 2025

Courtney Paige Shupp is a Physician Assistant based in Easton, PA. Courtney Paige Shupp practices in Easton, PA and has the professional credentials of PA-C. The NPI Number for Courtney Paige Shupp is 1235828971 and holds a License No. 25MP00936900 (NJ). The current practice location address for Courtney Paige Shupp is 2200 St Lukes Blvd Ste 100, Easton, PA 18045-5665 and can be reached out via phone at 484-526-1735.

Provider Profile Details

NPI Number
1235828971
Provider Name
Courtney Paige Shupp
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2200 St Lukes Blvd Ste 100, Easton, PA 18045-5665
Phone Number
484-526-1735
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2023
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2200 St Lukes Blvd Ste 100
Easton, PA 18045-5665
City
Easton
Zip
18045-5665
Phone Number
484-526-1735
Easton, PA 18045Get directions →

Provider Business Mailing Address Details

Address
801 Ostrum St
Bethlehem, PA 18015-1000
City
Bethlehem
State
PA
Zip
18015-1000

License Information

License Number (1)
25MP00936900
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
MA064947
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney P Shupp, PA-C?

The NPI number of Courtney P Shupp, PA-C is 1235828971. It was assigned on May 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Courtney P Shupp, PA-C?

Courtney P Shupp, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00936900.

Where does Courtney P Shupp, PA-C practice?

The practice location is 2200 St Lukes Blvd Ste 100, Easton, PA 18045-5665. The office can be reached at 484-526-1735 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235828971 directly on the NPPES registry website.

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