SHELBY LYNN CLARK
NPI 1487535563
Nurse Practitioner - Family in Paducah, KY

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment
225 MEDICAL CENTER DR STE 208B, PADUCAH, KY 42003(270) 444-2444 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Sep 8, 2025 (2 updates tracked since 2025).

About Shelby Lynn Clark NPPES

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

SHELBY LYNN CLARK (NPI 1487535563) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (4042839) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487535563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY LYNN CLARK
Location Address225 MEDICAL CENTER DR STE 208BPaducah, KY 42003-7914
Mailing Address225 Medical Center Dr Ste 208bPaducah, KY 42003-7914
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1487535563 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 KY · 4042839
225 MEDICAL CENTER DR STE 208B, Paducah, KY 42003

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 Lynn Clark 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 ID5698252203
PECOS Enrollment IDI20260123003306
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 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

Surgery (Plastic and Reconstructive Surgery)
225 MEDICAL CENTER DR STE 208B
PADUCAH, KY 42003

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 Clark's NPI number?

The NPI number for Shelby Clark is 1487535563. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Shelby Clark located?

Shelby Clark practices at 225 Medical Center Dr Ste 208B, Paducah, KY 42003. The listed phone number is (270) 444-2444.

What is Shelby Clark's specialty?

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

Is Shelby Clark enrolled in Medicare?

Yes. Shelby Clark 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.

When was this NPI record last updated?

The NPPES record for Shelby Clark was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.