SHELBY LYNN CLARK FNP
NPI 1104589571
Nurse Practitioner in Lewes, DE
About Shelby Lynn Clark Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY LYNN CLARK FNP (NPI 1104589571) is an individual nurse practitioner in Lewes, Delaware, licensed in Delaware (LG-0011790) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelby Lynn Clark Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelby Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lewes, DE 19958
- Reassigned Medicare billing, Delaware enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19958 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWES, DE 19958
LEWES, DE 19958
LEWES, DE 19958
LEWES, DE 19958
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 Clark's NPI number?
The NPI number for Shelby Clark is 1104589571. It was assigned to this individual provider in the NPPES registry on October 21, 2021. The provider is also known as Shelby Holmes Hogan Fnp.
Where is Shelby Clark located?
Shelby Clark practices at 33663 Bayview Medical Dr Unit 2, Lewes, DE 19958. The listed phone number is (302) 645-9325.
What is Shelby Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shelby Clark enrolled in Medicare?
Yes. Shelby Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelby Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Clark reassigns Medicare benefits to Cardiovascular Interventional Associates LLC (Lewes, DE). 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 Shelby Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelby Clark was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 Lynn Clark, FNP · NPI 1104589571
Nurse Practitioner physician in Lewes, Delaware. Individual provider, active in the CMS NPPES registry since October 21, 2021.
## Identity
- **NPI:** 1104589571 (Entity type: Individual)
- **Enumerated:** October 21, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** LG-0011790 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 33663 BAYVIEW MEDICAL DR UNIT 2, Lewes, DE 19958-1663
- **Phone:** (302) 645-9325 · **Fax:** (888) 987-4534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cardiovascular Interventional Associates LLC (NPI 1518381375, Lewes, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104589571) · Data from the CMS NPPES public registry.