SHELBY L SHELDON ACNP-BC
NPI 1346584281
Nurse Practitioner - Acute Care in Albuquerque, NM

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-6901 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Jun 22, 2023, Aug 17, 2018 (3 updates tracked since 2018).

About Shelby L Sheldon Acnp-bc NPPES

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

SHELBY L SHELDON ACNP-BC (NPI 1346584281) is an individual acute care provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-02086) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346584281
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHELBY L SHELDONCredential: ACNP-BC
Location Address1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131
Mailing Address1523 Corinth Ave Apt 8Los Angeles, CA 90025-3293 · (505) 228-1713
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1346584281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NM · CNP-02086
1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

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

Shelby L Sheldon Acnp-bc 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 ID3779738554
PECOS Enrollment IDI20130228000032
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services23 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

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.

Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO, DEPARTMENT OF EMERGENCY MEDICINE MSC 11 6025
ALBUQUERQUE, NM 87131
Radiology (Diagnostic Radiology)
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Sheldon's NPI number?

The NPI number for Shelby Sheldon is 1346584281. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Shelby Sheldon located?

Shelby Sheldon practices at 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-6901.

What is Shelby Sheldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shelby Sheldon enrolled in Medicare?

Yes. Shelby Sheldon 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.

Is Shelby Sheldon affiliated with any hospitals?

According to CMS data, Shelby Sheldon is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Sheldon was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.