SHELLEY SMITH TICKETT - NPI 1023064292 - Pediatrics in Brandon, FL

Q: What is Shelley Tickett's NPI number?

The NPI number for Shelley Tickett is 1023064292. It was assigned to this individual provider in the NPPES registry on May 26, 2006. The provider is also known as Shelley Smith Stevens.

Q: What is Shelley Tickett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shelley Tickett was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shelley Smith Tickett NPPES

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

SHELLEY SMITH TICKETT (NPI 1023064292) is an individual pediatrics provider in Brandon, Florida, licensed in Florida (ME90313) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023064292

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHELLEY SMITH TICKETT

Location Address901 E BLOOMINGDALE AVE STE 501Brandon, FL 33511-8118

Mailing Address14902 Heronglen DrLithia, FL 33547-5887 · (813) 317-1591

Phone(813) 699-3995

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1023064292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME90313

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

901 E BLOOMINGDALE AVE STE 501, Brandon, FL 33511

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Other Names 1

Former Name (1)Shelley Smith Stevens

Other Identifiers 2

Medicaid269812900FL

Other44141FL · Bcbs Of Florida

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Smith Tickett 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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.

Other Providers at the Same Location NPPES 6

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

ROBERT NEIL PELAEZ MD

Pediatrics