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DR. MISTY DAWN SHELDON DDS
NPI 1427063247
Dentist in Shawnee, OK

Active since July 30, 2006PECOS Enrolled
2510 E INDEPENDENCE ST, #600, SHAWNEE, OK 74804(405) 273-2002(405) 273-0087 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Misty Dawn Sheldon Dds NPPES

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

DR. MISTY DAWN SHELDON DDS (NPI 1427063247) is an individual dentist in Shawnee, Oklahoma, licensed in Oklahoma (5495) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427063247
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MISTY DAWN SHELDONCredential: DDS
Location Address2510 E INDEPENDENCE ST, #600Shawnee, OK 74804-1839
Mailing Address2510 E Independence St, #600Shawnee, OK 74804-1839 · (405) 273-2002 · Fax (405) 273-0087
Phone(405) 273-2002
Fax(405) 273-0087
Sole ProprietorYes
Enumeration DateJuly 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1427063247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 5495
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2510 E INDEPENDENCE ST, Shawnee, OK 74804
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Other Identifiers 1

Other1334872OK · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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. Misty Dawn Sheldon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Misty Sheldon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creek Nation Hospital & Clinics
34 mi
Family Medicine
1800 E COPLIN ST
Okemah, OK 74859
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
NPI 1467053173 (918) 623-1424

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 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 3

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

MONIQUE JACQUELINE BRINK APRN-CNP
Nurse Practitioner
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804
Pottawatomie County (800) 942-2904
COHESIVE HOME HEALTHCARE
Home Health
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804
Pottawatomie County (405) 615-0286
RENALLA KAYE ELLIS DDS
Dentist (General Practice)
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-2002

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 Misty Sheldon's NPI number?

The NPI number for Misty Sheldon is 1427063247. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Misty Sheldon located?

Misty Sheldon practices at 2510 E Independence St #600, Shawnee, OK 74804. The listed phone number is (405) 273-2002.

What is Misty Sheldon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Misty Sheldon enrolled in Medicare?

Yes. Misty Sheldon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Sheldon reassigns Medicare benefits to Creek Nation Hospital & Clinics (Okemah, OK). 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 Misty Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Sheldon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Misty Sheldon 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 Misty Sheldon was last updated on March 7, 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.