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KAREN SHELLEY NP-C
NPI 1467937250
Nurse Practitioner - Family in Fort Payne, AL

Active since September 27, 2018PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968(256) 845-3150 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Shelley Np-c NPPES

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

KAREN SHELLEY NP-C (NPI 1467937250) is an individual family provider in Fort Payne, Alabama, licensed in Alabama (1-140863) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467937250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN SHELLEYCredential: NP-C
Location Address200 MEDICAL CENTER DR SWFort Payne, AL 35968-3458
Mailing Address9759 Burton DrHenagar, AL 35978-5395 · (256) 868-0008
Phone(256) 845-3150
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 27, 2018
✔ NPI 1467937250 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 AL · 1-140863
200 MEDICAL CENTER DR SW, Fort Payne, AL 35968
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Karen Shelley Np-c 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 ID648609735
PECOS Enrollment IDI20200413001359
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
193 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
163 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services41 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
46 services29 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35968 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

WILLSTOWN EMERGENCY PHYSICIANS
Emergency Medicine
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (259) 997-2305
FORT PAYNE HOSPITAL CORPORATION
Clinic/Center (Recovery Care)
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150
SHANNON SIMPSON MORGAN MD
Family Medicine
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2150
DIANE BURNETT CRISMAN OTR/L
Occupational Therapist
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-6420
TONYA LEIGH FOX CRNA
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-5605
HH HEALTH SYSTEM - DEKALB, LLC
Medicare Defined Swing Bed Unit
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2145
NICHOLAS CHIVERS CRNA
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150
ANDREW THOMAS HUNTER
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150

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 Karen Shelley's NPI number?

The NPI number for Karen Shelley is 1467937250. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Where is Karen Shelley located?

Karen Shelley practices at 200 Medical Center Dr SW, Fort Payne, AL 35968. The listed phone number is (256) 845-3150.

What is Karen Shelley's specialty?

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

Is Karen Shelley enrolled in Medicare?

Yes. Karen Shelley 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 Karen Shelley accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Karen Shelley 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 Karen Shelley was last updated on September 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.