SHELBY BILLIE ELIZABETH WILDISH
NPI 1154025674
Obstetrics & Gynecology in Boston, MA

Active since March 28, 2023PECOS Enrolled
800 WASHINGTON ST # 22, BOSTON, MA 02111(617) 636-0265(617) 636-8315 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2024, Mar 28, 2023 (2 updates tracked since 2023).

About Shelby Billie Elizabeth Wildish NPPES

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

SHELBY BILLIE ELIZABETH WILDISH (NPI 1154025674) is an individual obstetrics & gynecology provider in Boston, Massachusetts, licensed in Massachusetts (1154025674) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154025674
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHELBY BILLIE ELIZABETH WILDISH
Location Address800 WASHINGTON ST # 22Boston, MA 02111-1552
Mailing Address800 Washington St # 22Boston, MA 02111-1552 · (617) 636-0265 · Fax (617) 636-8315
Fax(617) 636-8315
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1154025674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MA · 1154025674
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.
800 WASHINGTON ST # 22, Boston, MA 02111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelby Billie Elizabeth Wildish is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02111 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 7

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

Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST # 22
BOSTON, MA 02111
Obstetrics & Gynecology
800 WASHINGTON ST # 22
BOSTON, MA 02111
Obstetrics & Gynecology
800 WASHINGTON ST # 22
BOSTON, MA 02111
Obstetrics & Gynecology
800 WASHINGTON ST # 22
BOSTON, MA 02111
Obstetrics & Gynecology
800 WASHINGTON ST # 22
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST # 22
BOSTON, MA 02111
Obstetrics & Gynecology
800 WASHINGTON ST # 22
BOSTON, MA 02111

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 Wildish's NPI number?

The NPI number for Shelby Wildish is 1154025674. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Shelby Wildish located?

Shelby Wildish practices at 800 Washington St # 22, Boston, MA 02111. The listed phone number is (617) 636-0265.

What is Shelby Wildish's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shelby Wildish enrolled in Medicare?

Yes. Shelby Wildish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Wildish was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.