SHELBY LYNN PLOTKIN PA-C
NPI 1104484963
Physician Assistant in Edmond, OK

Q: What is Shelby Plotkin's NPI number?

The NPI number for Shelby Plotkin is 1104484963. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Shelby Lynn Nicholson.

Q: What is Shelby Plotkin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Plotkin was last updated on October 21, 2019. 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.

Active since June 05, 2019

4509 INTEGRIS PKWY STE 200, EDMOND, OK 73034(405) 657-3895(405) 657-3896 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2019, Jun 5, 2019 (2 updates tracked since 2019).

On this page

About Shelby Lynn Plotkin Pa-c NPPES

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

SHELBY LYNN PLOTKIN PA-C (NPI 1104484963) is an individual physician assistant in Edmond, Oklahoma, licensed in Oklahoma (3053) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1104484963

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY LYNN PLOTKINCredential: PA-C

Location Address4509 INTEGRIS PKWY STE 200Edmond, OK 73034-8696

Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 657-3895 · Fax (405) 657-3896

Phone(405) 657-3895

Fax(405) 657-3896

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration

✔ NPI 1104484963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 3053

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4509 INTEGRIS PKWY STE 200, Edmond, OK 73034

Open in Google Maps ↗

Other Names 1

Former Name (1)Shelby Lynn Nicholson

Other Providers at the Same Location NPPES 12

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

DR. KELSEY KEOPPEL DO

Family Medicine