SHELBY ROSE BECKHOLT
NPI 1093343162
Obstetrics & Gynecology in Williamsville, NY

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
192 PARK CLUB LN STE 120, WILLIAMSVILLE, NY 14221(716) 559-3803 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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, maintains a secondary practice location in Buffalo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093343162
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHELBY ROSE BECKHOLT
Location Address192 PARK CLUB LN STE 120Williamsville, NY 14221-5270
Mailing Address897 Delaware Ave Ste 301Buffalo, NY 14209-2087 · (716) 846-1190
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1093343162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 328820
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

192 PARK CLUB LN STE 120, Williamsville, NY 14221

Secondary Practice Location 1

Location 1897 Delaware Ave Ste 301Buffalo, NY 14209-2087 · Phone (716) 846-1190

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

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.

PECOS PAC ID3375079213
PECOS Enrollment IDI20241216001102
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.

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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

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

Surgery (Surgical Oncology)
192 PARK CLUB LN STE 120
WILLIAMSVILLE, NY 14221

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.

When was this NPI record last updated?

The NPPES record for Shelby Beckholt was last updated on October 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.