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SHELLY A COLLINS
NPI 1558226852
Nurse Practitioner - Psychiatric/Mental Health in South Boston, VA

Active since December 18, 2025PECOS Enrolled
504 WILBORN AVE # 5, SOUTH BOSTON, VA 24592(434) 517-3400(434) 517-3070 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly A Collins NPPES

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

SHELLY A COLLINS (NPI 1558226852) is an individual psychiatric/mental health provider in South Boston, Virginia, licensed in Virginia (0024195715) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saxe, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558226852
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHELLY A COLLINS
Location Address504 WILBORN AVE # 5South Boston, VA 24592-3120
Mailing Address504 Wilborn Ave # 5South Boston, VA 24592-3120 · (434) 517-3400 · Fax (434) 517-3070
Phone(434) 517-3400
Fax(434) 517-3070
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2025
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1558226852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024195715
504 WILBORN AVE # 5, South Boston, VA 24592
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Secondary Practice Location 1

Location 1320 Bobcat LnSaxe, VA 23967-5720 · Phone (609) 977-0677

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly A Collins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911461645
PECOS Enrollment IDI20260714000266
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 Shelly Collins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dominion Health Medical Associates Ltd
Same address
Community/Behavioral Health
504 WILBORN AVE
South Boston, VA 24592
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Dominion Health Medical Assoc
  • 82 clinicians in this Medicare group
NPI 1215411483 (434) 517-3400

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 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Shelly Collins's NPI number?

The NPI number for Shelly Collins is 1558226852. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Shelly Collins located?

Shelly Collins practices at 504 Wilborn Ave # 5, South Boston, VA 24592. The listed phone number is (434) 517-3400.

What is Shelly Collins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelly Collins enrolled in Medicare?

Yes. Shelly Collins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Collins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Collins reassigns Medicare benefits to Dominion Health Medical Associates Ltd (South Boston, VA). 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 Shelly Collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Collins was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.