SHELBY ALEXANDRA PRATER
NPI 1447077433
Nurse Practitioner - Family in Beavercreek, OH

Active since September 23, 2024PECOS EnrolledAccepts Medicare Assignment
38 WOODCROFT TRL, BEAVERCREEK, OH 45430(937) 427-3333 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 28, 2025, Sep 23, 2024 (2 updates tracked since 2024).

About Shelby Alexandra Prater NPPES

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

SHELBY ALEXANDRA PRATER (NPI 1447077433) is an individual family provider in Beavercreek, Ohio, licensed in Ohio (APRN.CNP.0037608) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447077433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY ALEXANDRA PRATER
Location Address38 WOODCROFT TRLBeavercreek, OH 45430-1980
Mailing Address614 Louise DrXenia, OH 45385-1703
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 23, 2024
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1447077433 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 OH · APRN.CNP.0037608
38 WOODCROFT TRL, Beavercreek, OH 45430

Other Names 1

Former Name (1)Shelby Jordison

Secondary Practice Locations 2

Location 13123 Research BlvdKettering, OH 45420-4035 · Phone (937) 668-1951
Location 24867 Urbana RdSpringfield, OH 45502-9815 · Phone (937) 563-4901

Accepted Insurance

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 Alexandra Prater 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 ID7618499641
PECOS Enrollment IDI20250319003641
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.

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45430 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Family Medicine
38 WOODCROFT TRL
BEAVERCREEK, OH 45430
Physician Assistant (Medical)
38 WOODCROFT TRL
BEAVERCREEK, OH 45430
Nurse Practitioner (Family)
38 WOODCROFT TRL
BEAVERCREEK, OH 45430

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 Prater's NPI number?

The NPI number for Shelby Prater is 1447077433. It was assigned to this individual provider in the NPPES registry on September 23, 2024. The provider is also known as Shelby Jordison.

Where is Shelby Prater located?

Shelby Prater practices at 38 Woodcroft Trl, Beavercreek, OH 45430. The listed phone number is (937) 427-3333.

What is Shelby Prater's specialty?

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

Is Shelby Prater enrolled in Medicare?

Yes. Shelby Prater 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.

What insurance does Shelby Prater accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Shelby Prater 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.

Is Shelby Prater affiliated with any hospitals?

According to CMS data, Shelby Prater is affiliated with Miami Valley Hospital and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Shelby Prater was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.