SHELBY ROSE BECKHOLT
NPI 1093343162
Obstetrics & Gynecology in Williamsville, NY
About Shelby Rose Beckholt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY ROSE BECKHOLT (NPI 1093343162) is an individual obstetrics & gynecology provider in Williamsville, New York, licensed in New York (328820) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains a secondary practice location in Buffalo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shelby Rose Beckholt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shelby Beckholt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 332 clinicians in this Medicare group
Cheektowaga, NY 14225
- Reassigned Medicare billing, New York enrollment
- 515 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sisters Of Charity Hospital
Acute Care Hospitals · Buffalo, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelby Beckholt's NPI number?
The NPI number for Shelby Beckholt is 1093343162. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Shelby Beckholt located?
Shelby Beckholt practices at 192 Park Club Ln Ste 120, Williamsville, NY 14221. The listed phone number is (716) 559-3803.
What is Shelby Beckholt's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Shelby Beckholt enrolled in Medicare?
Yes. Shelby Beckholt 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 Shelby Beckholt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Beckholt reassigns Medicare benefits to 2 organizations: Trinity Medical Wny PC (Williamsville, NY) and Sisters Of Charity Hospital Of Buffalo New York (Cheektowaga, NY). 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 Shelby Beckholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shelby Beckholt affiliated with any hospitals?
According to CMS data, Shelby Beckholt is affiliated with Sisters Of Charity Hospital.
When was this NPI record last updated?
The NPPES record for Shelby Beckholt was last updated on October 14, 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.
# Shelby Rose Beckholt · NPI 1093343162
Obstetrics & Gynecology physician in Williamsville, New York. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1093343162 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 328820 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 192 PARK CLUB LN STE 120, Williamsville, NY 14221-5270
- **Phone:** (716) 559-3803
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trinity Medical Wny PC (NPI 1144878893, Williamsville, NY); Sisters Of Charity Hospital Of Buffalo New York (NPI 1043455199, Cheektowaga, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093343162) · Data from the CMS NPPES public registry.