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SHELBY WILSON PA-C
NPI 1114336120
Physician Assistant in Glendale, AZ

Active since August 05, 2014PECOS EnrolledAccepts Medicare Assignment
18205 N 51ST AVE, SUITE 129, GLENDALE, AZ 85308(623) 398-8554(623) 398-8278 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelby Wilson Pa-c NPPES

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

SHELBY WILSON PA-C (NPI 1114336120) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (5768) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114336120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY WILSONCredential: PA-C
Location Address18205 N 51ST AVE, SUITE 129Glendale, AZ 85308-1490
Mailing Address18205 N 51st Ave, Suite 129Glendale, AZ 85308-1490 · (623) 398-8554 · Fax (623) 398-8278
Phone(623) 398-8554
Fax(623) 398-8278
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 5, 2014
✔ NPI 1114336120 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 AZ · 5768
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.
18205 N 51ST AVE, Glendale, AZ 85308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

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 Wilson Pa-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.

PECOS PAC ID4284993270
PECOS Enrollment IDI20180119002346
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 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

JACQUELINE M SOLOMON D O P C
Obstetrics & Gynecology
18205 N 51ST AVE, SUITE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
ARROWHEAD PLAZA DENTAL GROUP PLC
Dentist (General Practice)
18205 N 51ST AVE, SUITE 101
GLENDALE, AZ 85308
Maricopa County (602) 993-4200
MR. NICHOLAS ARCHER M.S.N.
Nurse Practitioner (Family)
18205 N 51ST AVE, SUITE 129
GLENDALE, AZ 85308
Maricopa County (623) 398-8554
JOHN STROBL D O PC
Obstetrics & Gynecology
18205 N 51ST AVE, SUITE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
DR. JACQUELINE M SOLOMON DO
Obstetrics & Gynecology
18205 N 51ST AVE, STE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
WALTER DARREL HAGGARD D.C.
Chiropractor
18205 N 51ST AVE, SUITE 147
GLENDALE, AZ 85308
Maricopa County (602) 997-7531
DR. JOHN PHILIP DAGIRMANJIAN M.D.
Anesthesiology
18205 N 51ST AVE, SUITE 109
GLENDALE, AZ 85308
Maricopa County (602) 547-1400
MR. ADRIAN E PULKRABEK DDS
Dentist
18205 N 51ST AVE, SUITE 137
GLENDALE, AZ 85308
Maricopa County (602) 866-9825

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 Wilson's NPI number?

The NPI number for Shelby Wilson is 1114336120. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Shelby Wilson located?

Shelby Wilson practices at 18205 N 51st Ave Suite 129, Glendale, AZ 85308. The listed phone number is (623) 398-8554.

What is Shelby Wilson's specialty?

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

Is Shelby Wilson enrolled in Medicare?

Yes. Shelby Wilson 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.

What insurance does Shelby Wilson accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Shelby Wilson 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 Shelby Wilson was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.