DR. SHELLY FAY HAFERKAMP DO
NPI 1417418443
Psychiatry & Neurology - Psychiatry in Wichita Falls, TX
About Dr. Shelly Fay Haferkamp Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLY FAY HAFERKAMP DO (NPI 1417418443) is an individual psychiatry provider in Wichita Falls, Texas, licensed in Texas (U4520) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Alabama College Of Osteopathic Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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)
Dr. Shelly Fay Haferkamp Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelly Haferkamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 42 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WICHITA FALLS, TX 76308
WICHITA FALLS, TX 76308
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 Haferkamp's NPI number?
The NPI number for Shelly Haferkamp is 1417418443. It was assigned to this individual provider in the NPPES registry on March 31, 2019.
Where is Shelly Haferkamp located?
Shelly Haferkamp practices at 6515 Kemp Blvd, Wichita Falls, TX 76308. The listed phone number is (940) 692-1220.
What is Shelly Haferkamp's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Shelly Haferkamp enrolled in Medicare?
Yes. Shelly Haferkamp is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelly Haferkamp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Haferkamp reassigns Medicare benefits to Spokane Behavioral Health LLC (Spokane, WA). 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 Haferkamp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Haferkamp accept?
Health plans from Providence Health Plan list Shelly Haferkamp 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 Haferkamp was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Shelly Fay Haferkamp, DO · NPI 1417418443
Psychiatry physician in Wichita Falls, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2019.
## Identity
- **NPI:** 1417418443 (Entity type: Individual)
- **Enumerated:** March 31, 2019
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** U4520 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6515 KEMP BLVD, Wichita Falls, TX 76308-5419
- **Phone:** (940) 692-1220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spokane Behavioral Health LLC (NPI 1932698107, Spokane, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Alabama College Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417418443) · Data from the CMS NPPES public registry.