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SHELLY R MYERS D.O.
NPI 1265617013
Family Medicine - Geriatric Medicine in Phoenix, AZ

Active since December 28, 2007PECOS Enrolled
4520 N 12TH ST, SUITE #103, PHOENIX, AZ 85014(602) 753-2345(855) 588-4647 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly R Myers D.o. NPPES

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

SHELLY R MYERS D.O. (NPI 1265617013) is an individual geriatric medicine provider in Phoenix, Arizona, licensed in Arizona (005397) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265617013
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameSHELLY R MYERSCredential: D.O.
Location Address4520 N 12TH ST, SUITE #103Phoenix, AZ 85014-4233
Mailing Address4520 N 12th St, Suite #103Phoenix, AZ 85014-4233 · (602) 753-2345 · Fax (855) 588-4647
Phone(602) 753-2345
Fax(855) 588-4647
Sole ProprietorNo
Enumeration DateDecember 28, 2007
Last NPPES UpdateMarch 1, 2013
✔ NPI 1265617013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in AZ · 005397
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
4520 N 12TH ST, Phoenix, AZ 85014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly R Myers D.o. 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 Shelly Myers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arizona Supportive Care, LLC
1.3 mi
Specialist
1510 E FLOWER ST
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 15 clinicians in this Medicare group
NPI 1710279385 (602) 530-6900

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 85014 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

MOBILE THERAPY 7, LLC
Clinic/Center (Physical Therapy)
4520 N 12TH ST, SUITE 103
PHOENIX, AZ 85014
Maricopa County (520) 370-1492
DANETTE K EDWARDS PT
Physical Therapist
4520 N 12TH ST, SUITE 103
PHOENIX, AZ 85014
Maricopa County (602) 368-8317

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 Shelly Myers's NPI number?

The NPI number for Shelly Myers is 1265617013. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Shelly Myers located?

Shelly Myers practices at 4520 N 12th St Suite #103, Phoenix, AZ 85014. The listed phone number is (602) 753-2345.

What is Shelly Myers's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Shelly Myers enrolled in Medicare?

Yes. Shelly Myers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Myers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Myers reassigns Medicare benefits to Arizona Supportive Care, LLC (Phoenix, AZ). 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 Shelly Myers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Myers accept?

Health plans from Blue Cross Blue Shield of Arizona list Shelly Myers 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 Shelly Myers was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.