SHELBY SHELDON
NPI 1487543088
Nurse Practitioner - Family in Edmond, OK

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment
46 E 15TH ST, EDMOND, OK 73013(405) 844-5210 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Jun 30, 2025 (2 updates tracked since 2025).

About Shelby Sheldon NPPES

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

SHELBY SHELDON (NPI 1487543088) is an individual family provider in Edmond, Oklahoma, licensed in Oklahoma (225489) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487543088
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY SHELDON
Location Address46 E 15TH STEdmond, OK 73013-4301
Mailing Address46 E 15th StEdmond, OK 73013-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2025
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1487543088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 225489
46 E 15TH ST, Edmond, OK 73013

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 Sheldon 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 ID2668963018
PECOS Enrollment IDI20251113004592
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shelby Sheldon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
16205 N PENNSYLVANIA AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Oklahoma enrollment
  • 238 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 6

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

Physician Assistant (Medical)
46 E 15TH ST
EDMOND, OK 73013
Emergency Medicine
46 E 15TH ST
EDMOND, OK 73013
Physician Assistant (Medical)
46 E 15TH ST
EDMOND, OK 73013
Family Medicine
46 E 15TH ST
EDMOND, OK 73013
Family Medicine
46 E 15TH ST
EDMOND, OK 73013
Physician Assistant
46 E 15TH ST
EDMOND, OK 73013

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 Sheldon's NPI number?

The NPI number for Shelby Sheldon is 1487543088. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Shelby Sheldon located?

Shelby Sheldon practices at 46 E 15th St, Edmond, OK 73013. The listed phone number is (405) 844-5210.

What is Shelby Sheldon's specialty?

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

Is Shelby Sheldon enrolled in Medicare?

Yes. Shelby Sheldon 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 organizations bill Medicare for Shelby Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Sheldon reassigns Medicare benefits to 2 organizations: Medical Resource Management, LLC (Edmond, OK) and Signify Health, LLC (Dallas, TX). Each 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 Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Sheldon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Shelby Sheldon 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 Shelby Sheldon was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.