SHELLY M HAMILTON APRN
NPI 1013559061
Nurse Practitioner in Ocala, FL

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
1111 NE 25TH AVE STE 301, OCALA, FL 34470(352) 351-7000(352) 236-8610 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Oct 10, 2019 (2 updates tracked since 2019).

About Shelly M Hamilton Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY M HAMILTON APRN (NPI 1013559061) is an individual nurse practitioner in Ocala, Florida, licensed in Florida (APRN11004505) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013559061
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHELLY M HAMILTONCredential: APRN
Location Address1111 NE 25TH AVE STE 301Ocala, FL 34470-5667
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439 · Fax (800) 928-7449
Fax(352) 236-8610
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
NPI 1013559061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11004505
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 NE 25TH AVE STE 301, Ocala, FL 34470

Secondary Practice Locations 2

Location 115932 E Highway 40Silver Springs, FL 34488-5144 · Phone (352) 625-7777 · Fax (352) 625-1970
Location 26588 SE 9th PlOcala, FL 34472-7831 · Phone (352) 274-8324

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelly M Hamilton Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830522473
PECOS Enrollment IDI20191212000029
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims32 services$6.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$65.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$30.04 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$24.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1111 NE 25TH AVE STE 301
OCALA, FL 34470
Nurse Practitioner (Primary Care)
1111 NE 25TH AVE STE 301
OCALA, FL 34470
General Practice
1111 NE 25TH AVE STE 301
OCALA, FL 34470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Hamilton's NPI number?

The NPI number for Shelly Hamilton is 1013559061. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Shelly Hamilton located?

Shelly Hamilton practices at 1111 NE 25th Ave Ste 301, Ocala, FL 34470. The listed phone number is (352) 351-7000.

What is Shelly Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelly Hamilton enrolled in Medicare?

Yes. Shelly Hamilton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelly Hamilton accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shelly Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Hamilton was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.