BRANDY M. SHELTON
NPI 1225650542
Nurse Practitioner - Family in Madisonville, KY

Q: What is Brandy Shelton's NPI number?

The NPI number for Brandy Shelton is 1225650542. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Brandy Shelton'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 Brandy Shelton was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 08, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

444 S MAIN ST, MADISONVILLE, KY 42431(270) 821-4444(270) 821-9188 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Jan 3, 2025, Jul 19, 2021 and 3 more (6 updates tracked since 2020).

On this page

About Brandy M. Shelton NPPES

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

BRANDY M. SHELTON (NPI 1225650542) is an individual family provider in Madisonville, Kentucky, licensed in Kentucky (3014919) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225650542

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRANDY M. SHELTON

Location Address444 S MAIN STMadisonville, KY 42431-2846

Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 691-8070

Phone(270) 821-4444

Fax(270) 821-9188

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 8, 2020

Last NPPES UpdateApril 2, 20266 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1225650542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3014919

Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License 1132083 (KY)

444 S MAIN ST, Madisonville, KY 42431

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Secondary Practice Locations 2

Location 12211 Mayfair Dr Ste 101Owensboro, KY 42301-4569 · Phone (270) 688-1352 · Fax (270) 683-4313

Location 21030A Burlew BlvdOwensboro, KY 42303-1735 · Phone (270) 926-2273 · Fax (270) 684-3212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Brandy M. Shelton 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 ID4789094962

PECOS Enrollment IDI20250224000352

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.

Areas of Expertise CMS Part B claims 12

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.

615 services261 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

122 services95 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

102 services102 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

39 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services18 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

34 services34 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

31 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services18 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

81%387 patients4/55-star benchmark: 93%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

17%477 patients4/55-star benchmark: 91%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

72%708 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%1,716 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 1,143 patients

Patients screened: 99% · 1,143 patients

89%179 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%789 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers42 claims98 services$5.83 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims17 services$0.69 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

13 suppliers87 claims93 services$183.63 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 20

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

ROBERT G. HOLZKNECHT M.D.

Family Medicine

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 821-4444

TORE STUEN P.T.

Physical Therapist

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 825-0069

JOHN J. FARMER M. D.

Family Medicine

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 821-4444

TRI-STATE ADVANCED PAIN MANAGEMENT

Pain Medicine (Interventional Pain Medicine)

444 S MAIN ST, SUITE 133
MADISONVILLE, KY 42431

Hopkins County (270) 825-4732

DIANA M. STULC, PSC

Family Medicine

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 825-4204

MADISONVILLE MRI LLC

Radiology (Diagnostic Radiology)

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (800) 467-2392

ALICIA F. TERRY PA-C

Physician Assistant

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 821-4444

REGINA J. SISK APRN

Nurse Practitioner (Family)

444 S MAIN ST
MADISONVILLE, KY 42431

Hopkins County (270) 821-4444

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 Brandy Shelton's NPI number?

The NPI number for Brandy Shelton is 1225650542. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Brandy Shelton located?

Brandy Shelton practices at 444 S Main St, Madisonville, KY 42431. The listed phone number is (270) 821-4444.

What is Brandy Shelton's specialty?

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

Is Brandy Shelton enrolled in Medicare?

Yes. Brandy 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.

What insurance does Brandy Shelton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Brandy 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.

Is Brandy Shelton affiliated with any hospitals?

According to CMS data, Brandy Shelton is affiliated with Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Brandy Shelton was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.