SHELLY WELCH HOLMSTROM MD
NPI 1427061043
Obstetrics & Gynecology in Tampa, FL

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
4503 N 22ND ST, TAMPA, FL 33610(813) 738-6684(813) 413-8549 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2023, Aug 23, 2023, Oct 22, 2020 (3 updates tracked since 2020).

About Shelly Welch Holmstrom Md NPPES

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

SHELLY WELCH HOLMSTROM MD (NPI 1427061043) is an individual obstetrics & gynecology provider in Tampa, Florida, licensed in Florida (ME90448) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1998).

NPPES Registry Identity

NPI1427061043
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHELLY WELCH HOLMSTROMCredential: MD
Location Address4503 N 22ND STTampa, FL 33610-6201
Mailing Address1410 Harbour Walk RdTampa, FL 33602-5971 · (813) 394-1668
Fax(813) 413-8549
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1998
Enumeration DateAugust 14, 2006
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1427061043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME90448
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.
4503 N 22ND ST, Tampa, FL 33610

Other Identifiers 2

Medicaid270375100FL
Other48546FL · Blue Cross Blue Shield

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

Shelly Welch Holmstrom Md 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 ID1951378470
PECOS Enrollment IDI20040914000944
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

2

Medicare enrollment records show Shelly Holmstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 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 33610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
4503 N 22ND ST
TAMPA, FL 33610
Obstetrics & Gynecology (Gynecology)
4503 N 22ND ST
TAMPA, FL 33610
Obstetrics & Gynecology
4503 N 22ND ST
TAMPA, FL 33610
Nurse Practitioner
4503 N 22ND ST
TAMPA, FL 33610
Obstetrics & Gynecology
4503 N 22ND ST
TAMPA, FL 33610

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 Holmstrom's NPI number?

The NPI number for Shelly Holmstrom is 1427061043. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Shelly Holmstrom located?

Shelly Holmstrom practices at 4503 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 738-6684.

What is Shelly Holmstrom's specialty?

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

Is Shelly Holmstrom enrolled in Medicare?

Yes. Shelly Holmstrom 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 Shelly Holmstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Holmstrom reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and Dhp Of Manatee PA (Mangonia Park, FL). 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 Shelly Holmstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Holmstrom accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Shelly Holmstrom 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 Holmstrom was last updated on October 25, 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.