LATOYA RAQUEL SHELTON FNP-C
NPI 1104719186
Nurse Practitioner - Family in Spartanburg, SC
About Latoya Raquel Shelton Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATOYA RAQUEL SHELTON FNP-C (NPI 1104719186) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (30233) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Latoya Raquel Shelton Fnp-c 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 Reassignment
Medicare enrollment records show Latoya Shelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spartanburg, SC 29301
- Reassigned Medicare billing, South Carolina enrollment
- 4 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 29301 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 3
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 Latoya Shelton's NPI number?
The NPI number for Latoya Shelton is 1104719186. It was assigned to this individual provider in the NPPES registry on May 30, 2025.
Where is Latoya Shelton located?
Latoya Shelton practices at 3070 Reidville Rd, Spartanburg, SC 29301. The listed phone number is (864) 576-5764.
What is Latoya Shelton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latoya Shelton enrolled in Medicare?
Yes. Latoya Shelton 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 organization bills Medicare for Latoya Shelton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Shelton reassigns Medicare benefits to Westside Internal Medicine, LLC (Spartanburg, SC). 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 Latoya Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latoya Shelton accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Latoya Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Latoya Shelton was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Latoya Raquel Shelton, FNP-C · NPI 1104719186
Family physician in Spartanburg, South Carolina. Individual provider, active in the CMS NPPES registry since May 30, 2025.
## Identity
- **NPI:** 1104719186 (Entity type: Individual)
- **Enumerated:** May 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 30233 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3070 REIDVILLE RD, Spartanburg, SC 29301-5642
- **Phone:** (864) 576-5764
## 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:** Westside Internal Medicine, LLC (NPI 1134279961, Spartanburg, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104719186) · Data from the CMS NPPES public registry.