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SHELBY JOHNSON WHITEHEAD APRN
NPI 1487511697
Nurse Practitioner - Family in Bonifay, FL

Active since January 08, 2026PECOS Enrolled
3120 SOUTHRIDE LN, BONIFAY, FL 32425(850) 547-4440(850) 547-4441 Get Directions Write a Review

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

Record update history: Mar 26, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Shelby Johnson Whitehead Aprn NPPES

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

SHELBY JOHNSON WHITEHEAD APRN (NPI 1487511697) is an individual family provider in Bonifay, Florida, licensed in Florida (APRN11044769) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487511697
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY JOHNSON WHITEHEADCredential: APRN
Location Address3120 SOUTHRIDE LNBonifay, FL 32425-3325
Mailing Address3120 Southride LnBonifay, FL 32425-3325 · (850) 547-4440 · Fax (850) 547-4441
Phone(850) 547-4440
Fax(850) 547-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 8, 2026
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1487511697 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 FL · APRN11044769
3120 SOUTHRIDE LN, Bonifay, FL 32425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Johnson Whitehead Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587148259
PECOS Enrollment IDI20260319004313
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32425 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

AUGUSTA LEANA ANDERSON APRN
Nurse Practitioner (Family)
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440
MRS. MEAGHAN S. TAYLOR ARNP
Nurse Practitioner (Women's Health)
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440
HAWKINS FAMILY MEDICINE LLC
Family Medicine
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440

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 Whitehead's NPI number?

The NPI number for Shelby Whitehead is 1487511697. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Shelby Whitehead located?

Shelby Whitehead practices at 3120 Southride Ln, Bonifay, FL 32425. The listed phone number is (850) 547-4440.

What is Shelby Whitehead's specialty?

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

Is Shelby Whitehead enrolled in Medicare?

Yes. Shelby Whitehead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Whitehead was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.