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: July 19, 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 8

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

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154025674, enumerated as an "individual" on March 28, 2023.

The provider is located at 800 WASHINGTON ST # 22 BOSTON, MA 02111 and the phone number is (617) 636-0265.

Obstetrics & Gynecology with taxonomy code 207V00000X.