Shelby L. Blackley
Surgical Physician Assistant · Trumbull, CT
Shelby L. Blackley is a surgical physician assistant with a practice address in Trumbull, Connecticut, and NPI 1518584259, issued on Jun 29, 2020. Check the license (Connecticut 4908, as entered in NPPES) with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shelby L. Blackley
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 4908 CT
Self-reported in NPPES; status is on the state search - Practice location
- 5520 Park Ave Ste WP-2300, Trumbull, CT 06611
- Phone
- (203) 374-0310
- Enumerated
- Jun 29, 2020
- Record last updated
- Oct 1, 2025
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 808 in Connecticut → Look up another NPI →
Also registered at 5520 Park Ave Ste WP-2300
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alicia Andaloro, PA-CPhysician Assistant1316303720
- Allison Mastroianni, PAPhysician Assistant1023858123
Verify Shelby L. Blackley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
Search for license 4908Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $322.86
11 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Shelby L. Blackley among 808 surgical physician assistant records in Connecticut
Shelby L. Blackley is one of 808 surgical physician assistant records with a practice address in Connecticut. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 73% of them.
- NPI issued2020 · 73% of these records are older, 22% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileNo · 80% of these records are
- Record last updated2025 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 surgical physician assistant records list a practice address in Trumbull
They are 10 of the 786 NPPES records with a practice address in Trumbull, and 808 surgical physician assistant records in Connecticut.
All 808 in Connecticut → Every provider in Trumbull → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Nicholas Anagnost, PA-CTrumbull, CT 066111548038623
- Jacqueline ClarizioTrumbull, CT 066111174166722
- Michael Hann, PA-C, ATCTrumbull, CT 066111225163488
- Jay Hirsch, P.A.-CTrumbull, CT 066111619149028
- Jessica Martins, PA-CTrumbull, CT 066111053628784
- Jenna McDonald, PA-CTrumbull, CT 066111588999353
- Jacqueline McSally, PA-CTrumbull, CT 066111417415084
- Brielle Rossomando, PA-CTrumbull, CT 066111255824496
Common questions
What is Shelby L. Blackley's NPI number?
Shelby L. Blackley's National Provider Identifier (NPI) is 1518584259, issued on Jun 29, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Shelby L. Blackley located?
The NPPES record lists a practice address at 5520 Park Ave Ste WP-2300, Trumbull, CT, 06611. Phone: (203) 374-0310. Providers update this record themselves, so call before visiting.
How can I verify Shelby L. Blackley's license?
NPPES lists Connecticut license number 4908, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.