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SHELLIE DEAN GRAVES NP
NPI 1043869738
Nurse Practitioner - Occupational Health in Meridian, ID

Active since September 05, 2019PECOS Enrolled
520 S EAGLE RD STE 2213, MERIDIAN, ID 83642(208) 706-5447(208) 706-5448 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Apr 12, 2022, Nov 13, 2020 and 1 more (4 updates tracked since 2019).

About Shellie Dean Graves Np NPPES

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

SHELLIE DEAN GRAVES NP (NPI 1043869738) is an individual occupational health provider in Meridian, Idaho, licensed in Idaho (2271947) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043869738
Entity TypeIndividualFemale
Primary Taxonomy363LX0106X
Provider Legal NameSHELLIE DEAN GRAVESCredential: NP
Location Address520 S EAGLE RD STE 2213Meridian, ID 83642-6354
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-5447
Fax(208) 706-5448
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1043869738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License✔ Licensed in ID · 2271947
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP95011932 (CA)
520 S EAGLE RD STE 2213, Meridian, ID 83642
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15000 Pacific Coast HwySan Clemente, CA 92674 · Phone (949) 531-0963
Location 223181 Verdugo Dr Ste 103ALaguna Hills, CA 92653-1313 · Phone (800) 964-7710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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)

Shellie Dean Graves Np 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 Shellie Graves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
8.1 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 2

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

ELIZABETH ANNE MALARKEY FNP-C
Nurse Practitioner (Occupational Health)
520 S EAGLE RD STE 2213
MERIDIAN, ID 83642
Ada County (208) 706-5447
DR. KEVIN CRAIG WALTERS MD
Preventive Medicine (Occupational Medicine)
520 S EAGLE RD STE 2213
MERIDIAN, ID 83642
Ada County (208) 706-5447

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 Shellie Graves's NPI number?

The NPI number for Shellie Graves is 1043869738. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Shellie Graves located?

Shellie Graves practices at 520 S Eagle Rd Ste 2213, Meridian, ID 83642. The listed phone number is (208) 706-5447.

What is Shellie Graves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Is Shellie Graves enrolled in Medicare?

Yes. Shellie Graves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shellie Graves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shellie Graves reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Shellie Graves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shellie Graves accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Shellie Graves 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 Shellie Graves was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.