Shannon Malecki, NP
Shannon Malecki, NP is a Registered Nurse in Bryn Mawr, PA, registered under NPI 1053950105. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 825 OLD LANCASTER RD STE 440, Bryn Mawr, PA 19010. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| SP031210 | PA | Registered Nurse primary |
| 71009668A | IN | Nurse Practitioner |
| 71009668A | IN | Family Nurse Practitioner |
Licences are recorded in 2 states: PA, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 1052746997
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | I20200122002749 | Practitioner - Nurse Practitioner |
| Pennsylvania | I20241220000103 | Practitioner - Nurse Practitioner |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (IN, PA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Indiana and Pennsylvania. The practice address on file is in Bryn Mawr, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- SP031210
- Specialty
- Registered Nurse
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Registered Nurse covers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. NUCC Health Care Provider Taxonomy, code 163W00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | SP031210 | PA | primary |
| 363L00000X | Nurse Practitioner | 71009668A | IN | |
| 363LF0000X | Family Nurse Practitioner Family | 71009668A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053950105 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 6, 2020 |
| Last updated | Aug 9, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | NP |
| Practice address |
825 OLD LANCASTER RD STE 440 Bryn Mawr, PA 19010 (610) 525-4511 Fax (610) 525-8561 |
| Mailing address |
825 OLD LANCASTER RD STE 320 Bryn Mawr, PA 19010 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 9 | 5 | 0 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 9 | 5 | 0 | 1 | 0 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.