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THERESA MARIE SHELTON NNP-BC
NPI 1013689488
Nurse Practitioner - Neonatal in Billings, MT

Active since October 04, 2021PECOS Enrolled
7417 MONAD RD, BILLINGS, MT 59106(406) 861-0783 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Marie Shelton Nnp-bc NPPES

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

THERESA MARIE SHELTON NNP-BC (NPI 1013689488) is an individual neonatal provider in Billings, Montana, licensed in Montana (NUR-APRN-LIC-177258) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013689488
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameTHERESA MARIE SHELTONCredential: NNP-BC
Location Address7417 MONAD RDBillings, MT 59106-2610
Mailing Address7417 Monad RdBillings, MT 59106-2610 · (406) 861-0783
Phone(406) 861-0783
Sole ProprietorYes
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1013689488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MT · NUR-APRN-LIC-177258
7417 MONAD RD, Billings, MT 59106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Marie Shelton Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Shelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scl Health Medical Group - Billings LLC
4.2 mi
Gynecologic Oncology
602 HENRY CHAPPLE ST
Billings, MT 59106
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1114601549 (406) 901-2440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59106 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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 Theresa Shelton's NPI number?

The NPI number for Theresa Shelton is 1013689488. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Theresa Shelton located?

Theresa Shelton practices at 7417 Monad Rd, Billings, MT 59106. The listed phone number is (406) 861-0783.

What is Theresa Shelton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Theresa Shelton enrolled in Medicare?

Yes. Theresa Shelton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Shelton reassigns Medicare benefits to Scl Health Medical Group - Billings LLC (Billings, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Shelton accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Theresa Shelton 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 Theresa Shelton was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.