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SHELBY NICOLE HEINBAUGH APRN
NPI 1497584130
Nurse Practitioner - Gerontology in Stuart, FL

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment
200 SE HOSPITAL AVE, STUART, FL 34994(301) 302-5885 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2024, Sep 27, 2024, Aug 9, 2024 and 1 more (4 updates tracked since 2024).

About Shelby Nicole Heinbaugh Aprn NPPES

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

SHELBY NICOLE HEINBAUGH APRN (NPI 1497584130) is an individual gerontology provider in Stuart, Florida, licensed in Florida (APRN11034274) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Stuart.

NPPES Registry Identity

NPI1497584130
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHELBY NICOLE HEINBAUGHCredential: APRN
Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346
Mailing Address200 Se Hospital AveStuart, FL 34994-2346
Phone(301) 302-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2024
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1497584130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11034274
200 SE HOSPITAL AVE, Stuart, FL 34994
Open in Google Maps ↗

Secondary Practice Location 1

Location 16184 SE Riverboat DrStuart, FL 34997-1529 · Phone (301) 302-5885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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 Nicole Heinbaugh Aprn 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 ID9638601503
PECOS Enrollment IDI20241016002953
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 Reassignment

Medicare enrollment records show Shelby Heinbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martin Memorial Medical Center Inc
Same address
General Acute Care Hospital
200 SE HOSPITAL AVE
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
  • 602 clinicians in this Medicare group
NPI 1194790055 (772) 287-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

DR. ALEXANDER USOROV MD
Internal Medicine (Nephrology)
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 287-5200
CHRISTINA MAYOREE VIGO
Registered Nurse
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 224-6405
PRIYA VIKASH NEGANDHI MD
Internal Medicine
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 223-5618
TREASURE COAST ANESTHESIA GROUP PA
Anesthesiology
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 287-5200
FEGLYNN JEAN-BAPTISTE
Pharmacist
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 223-5945
KIERSTEN MARIE FANELL PA-C
Physician Assistant (Surgical)
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 287-5200
MARISA JOY HARDENBERGH MS, RD, LDN
Dietitian, Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (248) 974-9374
REAGAN LYNNE BRAVERMAN
Physician Assistant
200 SE HOSPITAL AVE
STUART, FL 34994
Martin County (772) 287-5200

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 Heinbaugh's NPI number?

The NPI number for Shelby Heinbaugh is 1497584130. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Shelby Heinbaugh located?

Shelby Heinbaugh practices at 200 SE Hospital Ave, Stuart, FL 34994. The listed phone number is (301) 302-5885.

What is Shelby Heinbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shelby Heinbaugh enrolled in Medicare?

Yes. Shelby Heinbaugh 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 Heinbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Heinbaugh reassigns Medicare benefits to Martin Memorial Medical Center Inc (Stuart, FL). 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 Heinbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Heinbaugh accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Shelby Heinbaugh 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.

Is Shelby Heinbaugh affiliated with any hospitals?

According to CMS data, Shelby Heinbaugh is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Heinbaugh was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.