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SHELLEY SMITH TICKETT
NPI 1023064292
Pediatrics in Brandon, FL

Active since May 26, 2006PECOS Enrolled
901 E BLOOMINGDALE AVE STE 501, BRANDON, FL 33511(813) 699-3995 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2024, Aug 11, 2021, Aug 8, 2016 (3 updates tracked since 2016).

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, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Emergency Physicians Inc
171 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

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 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
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995
JORGE LUIS MONTANE-GONZALEZ MD
Pediatrics
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995
SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC
Pediatrics
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995
AMANDA GRUNDEN GARCIA APRN
Nurse Practitioner (Family)
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995
DR. CELIA WILLIAMS D.O.
Pediatrics
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995
LISA C HAYES D.O.
Pediatrics
901 E BLOOMINGDALE AVE STE 501
BRANDON, FL 33511
Hillsborough County (813) 699-3995

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 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.

Where is Shelley Tickett located?

Shelley Tickett practices at 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511. The listed phone number is (813) 699-3995.

What is Shelley Tickett's specialty?

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

Is Shelley Tickett enrolled in Medicare?

Yes. Shelley Tickett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelley Tickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Tickett reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, FL). 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 Shelley Tickett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Tickett accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Shelley Tickett 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 Shelley Tickett was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.