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KAREN SHELTON APN
NPI 1164836565
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment
924 N ALVERNON WAY STE 110, TUCSON, AZ 85711(520) 207-9348(520) 345-5980 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Shelton Apn NPPES

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

KAREN SHELTON APN (NPI 1164836565) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (AP8203) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164836565
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN SHELTONCredential: APN
Location Address924 N ALVERNON WAY STE 110Tucson, AZ 85711-1066
Mailing Address82 S Stone AveTucson, AZ 85701-1713 · (520) 792-3293 · Fax (520) 792-4336
Phone(520) 207-9348
Fax(520) 345-5980
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 13, 2014
Last NPPES UpdateFebruary 16, 2018
✔ NPI 1164836565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · AP8203
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License APN.0000203 (CO)
924 N ALVERNON WAY STE 110, Tucson, AZ 85711
Open in Google Maps ↗

Secondary Practice Location 1

Location 11026 W Abriendo AvePueblo, CO 81004-1128 · Phone (719) 545-2746 · Fax (719) 545-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Karen Shelton Apn 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 ID3375843360
PECOS Enrollment IDI20151123002666
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cope Community Services, Inc.
Same address
Adolescent and Children Mental Health
924 N ALVERNON WAY STE 110
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1689196420 (520) 792-3293
Sonora Behavioral Health Hospital, LLC
1.3 mi
Mental Health (Including Community Mental Health Center)
3130 E BROADWAY BLVD STE 196
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 33 clinicians in this Medicare group
NPI 1245777481 (520) 399-8688

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 85711 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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 2

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

COPE COMMUNITY SERVICES, INC.
Clinic/Center (Adolescent and Children Mental Health)
924 N ALVERNON WAY STE 110
TUCSON, AZ 85711
Pima County (520) 792-3293
KELLI MARIE GACIC
Social Worker (Clinical)
924 N ALVERNON WAY STE 110
TUCSON, AZ 85711
Pima County (520) 207-9348

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 Karen Shelton's NPI number?

The NPI number for Karen Shelton is 1164836565. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Karen Shelton located?

Karen Shelton practices at 924 N Alvernon Way Ste 110, Tucson, AZ 85711. The listed phone number is (520) 207-9348.

What is Karen Shelton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Shelton enrolled in Medicare?

Yes. Karen 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 organizations bill Medicare for Karen Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Shelton reassigns Medicare benefits to 2 organizations: Cope Community Services, Inc. (Tucson, AZ) and Sonora Behavioral Health Hospital, LLC (Tucson, AZ). Each 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 Karen Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Shelton accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Karen 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 Karen Shelton was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.