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MRS. SHELBY LANE ELDER PMHNP
NPI 1205333424
Nurse Practitioner - Psychiatric/Mental Health in Hahira, GA

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
505 S CHURCH ST BLDG 4, HAHIRA, GA 31632(229) 414-8813(912) 999-3208 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2025, May 16, 2025, May 23, 2023 and 3 more (6 updates tracked since 2018).

About Mrs. Shelby Lane Elder Pmhnp NPPES

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

MRS. SHELBY LANE ELDER PMHNP (NPI 1205333424) is an individual psychiatric/mental health provider in Hahira, Georgia, licensed in Georgia (RN239452) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205333424
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHELBY LANE ELDERCredential: PMHNP
Location Address505 S CHURCH ST BLDG 4Hahira, GA 31632-1413
Mailing Address7381 Beaver Glen CirHahira, GA 31632-2273 · (229) 232-2602 · Fax (912) 999-3208
Phone(229) 414-8813
Fax(912) 999-3208
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 13, 2018
Last NPPES UpdateFebruary 9, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1205333424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN239452
505 S CHURCH ST BLDG 4, Hahira, GA 31632
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Mrs. Shelby Lane Elder Pmhnp 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 ID4183973357
PECOS Enrollment IDI20180821002553
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

3

Medicare enrollment records show Shelby Elder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Authority Of Valdosta And Lowndes County Georgia
7.2 mi
Hospitalist
4280 N VALDOSTA RD
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1629346390 (229) 671-2000
Psychiatric Consulting Services Of South Georgia, LLC
11 mi
Psychiatry
2109 N PATTERSON ST STE B
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Psychiatric Consulting Services Of South Ga LLC
  • 9 clinicians in this Medicare group
NPI 1083042105 (229) 232-4833
Georgia Pines Community Service Board
36 mi
Community/Behavioral Health
1102 SMITH AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 52 clinicians in this Medicare group
NPI 1366506958 (229) 225-4335

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
136 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
61 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31632 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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 Elder's NPI number?

The NPI number for Shelby Elder is 1205333424. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Shelby Elder located?

Shelby Elder practices at 505 S Church St Bldg 4, Hahira, GA 31632. The listed phone number is (229) 414-8813.

What is Shelby Elder's specialty?

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

Is Shelby Elder enrolled in Medicare?

Yes. Shelby Elder 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 Shelby Elder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Elder reassigns Medicare benefits to 3 organizations: Hospital Authority Of Valdosta And Lowndes County Georgia (Valdosta, GA), Psychiatric Consulting Services Of South Georgia, LLC (Valdosta, GA) and Georgia Pines Community Service Board (Thomasville, GA). 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 Shelby Elder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Elder accept?

Health plans from Oscar Health list Shelby Elder 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 Shelby Elder was last updated on February 9, 2026. 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.