DR. SHELLEY ALLISON MCCORMACK MD/PHARMD
NPI 1275920431
Obstetrics & Gynecology in Fresno, CA

Q: What is Shelley Mccormack's NPI number?

The NPI number for Shelley Mccormack is 1275920431. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is Shelley Mccormack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelley Mccormack was last updated on January 20, 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.

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment

2210 E ILLINOIS AVE STE 408, FRESNO, CA 93701(559) 443-2694(559) 443-2696 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Oct 10, 2020 (2 updates tracked since 2020).

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About Dr. Shelley Allison Mccormack Md/pharmd NPPES

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

DR. SHELLEY ALLISON MCCORMACK MD/PHARMD (NPI 1275920431) is an individual obstetrics & gynecology provider in Fresno, California, licensed in California (A147418) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2015).

NPPES Registry Identity

NPI1275920431

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SHELLEY ALLISON MCCORMACKCredential: MD/PHARMD

Location Address2210 E ILLINOIS AVE STE 408Fresno, CA 93701-2184

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 443-2694

Fax(559) 443-2696

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2015

Enumeration DateApril 24, 2015

Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1275920431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A147418

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2210 E ILLINOIS AVE STE 408, Fresno, CA 93701

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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

Dr. Shelley Allison Mccormack Md/pharmd 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 ID840616405

PECOS Enrollment IDI20200813002683

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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 13

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

MS. MELANIE ELAYNE KING MSN, RN, NP-C

Nurse Practitioner