SHELLEY L WONG FNP
NPI 1205891314
Nurse Practitioner in Vallejo, CA
About Shelley L Wong Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY L WONG FNP (NPI 1205891314) is an individual nurse practitioner in Vallejo, California, licensed in California (NP13957) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shelley L Wong Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Shelley Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 3,056 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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94589 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALLEJO, CA 94589
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 Shelley Wong's NPI number?
The NPI number for Shelley Wong is 1205891314. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is Shelley Wong located?
Shelley Wong practices at 100 Hospital Dr Ste 200, Vallejo, CA 94589. The listed phone number is (707) 427-4900.
What is Shelley Wong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shelley Wong enrolled in Medicare?
Yes. Shelley Wong 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 Shelley Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Wong reassigns Medicare benefits to Sutter Valley Medical Foundation (Fairfield, CA). 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 Shelley Wong'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 Shelley Wong was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shelley L Wong, FNP · NPI 1205891314
Nurse Practitioner physician in Vallejo, California. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1205891314 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP13957 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HOSPITAL DR STE 200, Vallejo, CA 94589
- **Phone:** (707) 427-4900 · **Fax:** (707) 428-2715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Valley Medical Foundation (NPI 1184859894, Fairfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205891314) · Data from the CMS NPPES public registry.