SHELLY RAY BROCKMAN APRN
NPI 1184126260
Nurse Practitioner - Family in Paducah, KY

Q: What is Shelly Brockman's NPI number?

The NPI number for Shelly Brockman is 1184126260. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Q: What is Shelly Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Brockman was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment

100 CLINT HILL BLVD, PADUCAH, KY 42001(270) 441-4357 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Nov 4, 2025, May 20, 2025 and 3 more (6 updates tracked since 2018).

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About Shelly Ray Brockman Aprn NPPES

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

SHELLY RAY BROCKMAN APRN (NPI 1184126260) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3012051) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184126260

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHELLY RAY BROCKMANCredential: APRN

Location Address100 CLINT HILL BLVDPaducah, KY 42001-6771

Mailing Address100 Clint Hill Blvd Ste 100Paducah, KY 42001-6771

Phone(270) 441-4357

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 5, 2018

Last NPPES UpdateDecember 2, 20256 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1184126260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3012051

100 CLINT HILL BLVD, Paducah, KY 42001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Shelly Ray Brockman Aprn 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 ID2567724289

PECOS Enrollment IDI20180316001377

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180102

Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42001 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$915.12 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$119.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MRS. ADRIANNA LYLES TROUTMAN PT

Physical Therapist