MRS. SHELIA DIANNE CLOPP CRNP
NPI 1386089118
Nurse Practitioner - Family in Huntsville, AL

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
4820 UNIVERSITY DR NW STE 35, HUNTSVILLE, AL 35816(256) 759-9167(256) 489-3191 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Shelia Dianne Clopp Crnp NPPES

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

MRS. SHELIA DIANNE CLOPP CRNP (NPI 1386089118) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-055305) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386089118
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHELIA DIANNE CLOPPCredential: CRNP
Location Address4820 UNIVERSITY DR NW STE 35Huntsville, AL 35816-1824
Mailing Address4820 University Dr Nw Ste 35Huntsville, AL 35816-1824 · (256) 759-9167 · Fax (256) 489-3191
Fax(256) 489-3191
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 7, 2013
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1386089118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-055305
4820 UNIVERSITY DR NW STE 35, Huntsville, AL 35816

Other Names 1

Former Name (1)Miss Shelia Dianne Venable Crnp

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shelia Dianne Clopp Crnp 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 ID6002059235
PECOS Enrollment IDI20130906000618
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 Reassignments

3

Medicare enrollment records show Shelia Clopp reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4820 UNIVERSITY DR NW STE 35
Huntsville, AL 35816
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
Urgent Care
7500 HIGHWAY 72 W
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 27 clinicians in this Medicare group
Urgent Care
202 GOVERNORS DR SE
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Quickcare Urgent LLC
  • 31 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 35816 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 (Family)
4820 UNIVERSITY DR NW STE 35
HUNTSVILLE, AL 35816
Clinic/Center (Primary Care)
4820 UNIVERSITY DR NW STE 35
HUNTSVILLE, AL 35816
Nurse Practitioner (Family)
4820 UNIVERSITY DR NW STE 35
HUNTSVILLE, AL 35816
General Practice
4820 UNIVERSITY DR NW STE 35
HUNTSVILLE, AL 35816

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 Shelia Clopp's NPI number?

The NPI number for Shelia Clopp is 1386089118. It was assigned to this individual provider in the NPPES registry on May 7, 2013. The provider is also known as Miss Shelia Dianne Venable Crnp.

Where is Shelia Clopp located?

Shelia Clopp practices at 4820 University Dr NW Ste 35, Huntsville, AL 35816. The listed phone number is (256) 759-9167.

What is Shelia Clopp's specialty?

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

Is Shelia Clopp enrolled in Medicare?

Yes. Shelia Clopp 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.

Which organizations bill Medicare for Shelia Clopp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelia Clopp reassigns Medicare benefits to 3 organizations: Synergy Medical Partners, LLC (Huntsville, AL), Qc Wellness, LLC (Madison, AL) and Quick Care Urgent, LLC (Huntsville, AL). Each 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 Shelia Clopp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelia Clopp accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Shelia Clopp 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 Shelia Clopp was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.