LAUREN HICKS SHELLEY
NPI 1194337287
Nurse Practitioner - Primary Care in Danbury, CT

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
30 MILESTONE RD, DANBURY, CT 06810(203) 702-7400 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lauren Hicks Shelley NPPES

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

LAUREN HICKS SHELLEY (NPI 1194337287) is an individual primary care provider in Danbury, Connecticut, licensed in Connecticut (9112) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194337287
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLAUREN HICKS SHELLEY
Location Address30 MILESTONE RDDanbury, CT 06810-5114
Mailing Address98 Wells Hill RdEaston, CT 06612-1525
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1194337287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CT · 9112
30 MILESTONE RD, Danbury, CT 06810

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

Lauren Hicks Shelley 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 ID840694006
PECOS Enrollment IDI20221020001879
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 Reassignment

Medicare enrollment records show Lauren Shelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services48 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
61 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
30 MILESTONE RD
DANBURY, CT 06810
Nurse Practitioner (Family)
30 MILESTONE RD
DANBURY, CT 06810
Clinical Nurse Specialist (Adult Health)
30 MILESTONE RD
DANBURY, CT 06810

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 Lauren Shelley's NPI number?

The NPI number for Lauren Shelley is 1194337287. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Lauren Shelley located?

Lauren Shelley practices at 30 Milestone Rd, Danbury, CT 06810. The listed phone number is (203) 702-7400.

What is Lauren Shelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lauren Shelley enrolled in Medicare?

Yes. Lauren Shelley 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 organization bills Medicare for Lauren Shelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Shelley reassigns Medicare benefits to Stamford Health Medical Group Inc (Stamford, CT). The 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 Lauren Shelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lauren Shelley was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.