Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY LILE
NPI 1265062095
Nurse Practitioner - Adult Health in Longview, TX

Active since January 21, 2020PECOS Enrolled
709 HOLLYBROOK DR STE 2301, LONGVIEW, TX 75605(903) 757-4691 Get Directions Write a Review

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

About Shelby Lile NPPES

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

SHELBY LILE (NPI 1265062095) is an individual adult health provider in Longview, Texas, licensed in Texas (AP144625) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265062095
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHELBY LILE
Location Address709 HOLLYBROOK DR STE 2301Longview, TX 75605-2412
Mailing Address709 Hollybrook Dr Ste 2301Longview, TX 75605-2412 · (903) 757-4691
Sole ProprietorNo
Enumeration DateJanuary 21, 2020
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1265062095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP144625
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP144625 (TX)
709 HOLLYBROOK DR STE 2301, Longview, TX 75605

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Lile is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shelby Lile reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
709 HOLLYBROOK DR STE 2301
Longview, TX 75605
  • Reassigned Medicare billing, Texas enrollment
  • 92 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Acute Care)
709 HOLLYBROOK DR STE 2301
LONGVIEW, TX 75605
Internal Medicine (Interventional Cardiology)
709 HOLLYBROOK DR STE 2301
LONGVIEW, TX 75605
Internal Medicine (Cardiovascular Disease)
709 HOLLYBROOK DR STE 2301
LONGVIEW, TX 75605
Internal Medicine
709 HOLLYBROOK DR STE 2301
LONGVIEW, TX 75605

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 Lile's NPI number?

The NPI number for Shelby Lile is 1265062095. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Shelby Lile located?

Shelby Lile practices at 709 Hollybrook Dr Ste 2301, Longview, TX 75605. The listed phone number is (903) 757-4691.

What is Shelby Lile's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shelby Lile enrolled in Medicare?

Yes. Shelby Lile is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Lile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Lile reassigns Medicare benefits to Regional Clinics Of Longview (Longview, TX). 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 Shelby Lile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Lile accept?

Health plans from Blue Cross and Blue Shield of Texas list Shelby Lile 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 Lile was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.