SHELBY M CUNNINGHAM
NPI 1497336861
Nurse Practitioner - Family in Duncan, OK
About Shelby M Cunningham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY M CUNNINGHAM (NPI 1497336861) is an individual family provider in Duncan, Oklahoma, licensed in Oklahoma (200708) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 M Cunningham 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 Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73533 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
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 Cunningham's NPI number?
The NPI number for Shelby Cunningham is 1497336861. It was assigned to this individual provider in the NPPES registry on April 17, 2021.
Where is Shelby Cunningham located?
Shelby Cunningham practices at 2088 N Hwy 81, Duncan, OK 73533. The listed phone number is (580) 606-6201.
What is Shelby Cunningham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shelby Cunningham enrolled in Medicare?
Yes. Shelby Cunningham 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 Cunningham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Cunningham reassigns Medicare benefits to Williams Medical Group Practice, LLC (Lawton, OK). 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 Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Cunningham accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shelby Cunningham 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 Cunningham was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 M Cunningham · NPI 1497336861
Family physician in Duncan, Oklahoma. Individual provider, active in the CMS NPPES registry since April 17, 2021.
## Identity
- **NPI:** 1497336861 (Entity type: Individual)
- **Enumerated:** April 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 200708 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2088 N HWY 81, Duncan, OK 73533-1416
- **Phone:** (580) 606-6201 · **Fax:** (580) 786-3200
## 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:** Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497336861) · Data from the CMS NPPES public registry.