SHELLY NAVATO CAPPS
NPI 1043667371
Family Medicine in Maryland Heights, MO

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
12445 DORSETT RD, MARYLAND HEIGHTS, MO 63043(314) 343-4440 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2020, Jul 10, 2017, May 17, 2016 (3 updates tracked since 2016).

About Shelly Navato Capps NPPES

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

SHELLY NAVATO CAPPS (NPI 1043667371) is an individual family medicine provider in Maryland Heights, Missouri, licensed in Illinois (125-068393) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).

NPPES Registry Identity

NPI1043667371
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELLY NAVATO CAPPS
Location Address12445 DORSETT RDMaryland Heights, MO 63043-3907
Mailing Address7435 W Talcott AveChicago, IL 60631-3707
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1043667371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125-068393
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12445 DORSETT RD, Maryland Heights, MO 63043

Secondary Practice Location 1

Location 17447 W Talcott Ave, Resurrection Family Medicine, Ste. 182Chicago, IL 60631-3745 · Phone (773) 792-5155

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelly Navato Capps 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 ID6002186707
PECOS Enrollment IDI20241211003908
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 Reassignments

2

Medicare enrollment records show Shelly Capps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
Internal Medicine
6740 S KINGS RANCH RD, SUITE 103
Gold Canyon, AZ 85118
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services25 patients
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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63043 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

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

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.66 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 4

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

Family Medicine
12445 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Physician Assistant
12445 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Family Medicine
12445 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Family Medicine
12445 DORSETT RD
MARYLAND HEIGHTS, MO 63043

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 Capps's NPI number?

The NPI number for Shelly Capps is 1043667371. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Shelly Capps located?

Shelly Capps practices at 12445 Dorsett Rd, Maryland Heights, MO 63043. The listed phone number is (314) 343-4440.

What is Shelly Capps's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelly Capps enrolled in Medicare?

Yes. Shelly Capps 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.

Which organizations bill Medicare for Shelly Capps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Capps reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and San Tan Cardiovascular Center, LLC (Gold Canyon, AZ). Each 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 Shelly Capps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Capps accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Shelly Capps 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 Capps was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.