SHELBY ALEXANDRA PRATER
NPI 1447077433
Nurse Practitioner - Family in Beavercreek, OH
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 Kettering Health Dayton, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Shelby Prater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moraine, OH 45439
- Reassigned Medicare billing, Ohio enrollment
- 49 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Dayton
Acute Care Hospitals · Dayton, OHPhysician 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.
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.
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.
Which organization bills Medicare for Shelby Prater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Prater reassigns Medicare benefits to Providence Medical Group, Inc. (Moraine, OH). 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 Shelby Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Prater accept?
Health plans from 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 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 19 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.
# Shelby Alexandra Prater · NPI 1447077433
Family physician in Beavercreek, Ohio. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1447077433 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0037608 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 38 WOODCROFT TRL, Beavercreek, OH 45430-1980
- **Phone:** (937) 427-3333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Group, Inc. (NPI 1659726768, Moraine, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447077433) · Data from the CMS NPPES public registry.