KATHERINE ROSE SHELBY
NPI 1073106225
Nurse Practitioner - Family in San Diego, CA

Active since February 18, 2021PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 554-7272 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2024, Aug 30, 2023, Sep 22, 2021 and 1 more (4 updates tracked since 2021).

About Katherine Rose Shelby NPPES

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

KATHERINE ROSE SHELBY (NPI 1073106225) is an individual family provider in San Diego, California, licensed in California (95025235) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073106225
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE ROSE SHELBY
Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-7272
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 18, 2021
Last NPPES UpdateMay 5, 20244 updates tracked since enumeration
NPPES CertifiedMay 5, 2024
NPI 1073106225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95025235 Licensed in MA · 2337842
3811 VALLEY CENTRE DR, San Diego, CA 92130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katherine Rose Shelby 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 ID5890185490
PECOS Enrollment IDI20231010003262
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.

Areas of Expertise CMS Part B claims 7

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 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.
170 services153 patients
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.
158 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.44
Improvement Activities40
Cost98.29

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine (Cardiovascular Disease)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Nurse Practitioner (Pediatrics)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Family Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR, S99
SAN DIEGO, CA 92130
Nurse Practitioner (Primary Care)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130

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 Katherine Shelby's NPI number?

The NPI number for Katherine Shelby is 1073106225. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Katherine Shelby located?

Katherine Shelby practices at 3811 Valley Centre Dr, San Diego, CA 92130. The listed phone number is (858) 554-7272.

What is Katherine Shelby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Shelby enrolled in Medicare?

Yes. Katherine Shelby 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.

When was this NPI record last updated?

The NPPES record for Katherine Shelby was last updated on May 5, 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.