MRS. SHELBY M SHIRLEY ANP
NPI 1598085128
Nurse Practitioner in Raleigh, NC

Active since June 05, 2010PECOS EnrolledAccepts Medicare Assignment
3024 NEW BERN AVE, SUITE 60, RALEIGH, NC 27610(919) 345-6874 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2022, Apr 13, 2021 (2 updates tracked since 2021).

About Mrs. Shelby M Shirley Anp NPPES

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

MRS. SHELBY M SHIRLEY ANP (NPI 1598085128) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (164926) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1598085128
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHELBY M SHIRLEYCredential: ANP
Location Address3024 NEW BERN AVE, SUITE 60Raleigh, NC 27610-1247
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 5, 2010
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1598085128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 164926
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5003239 (NC)
3024 NEW BERN AVE, Raleigh, NC 27610

Other Identifiers 2

Medicaid363LC1500XNC
Medicaid363LA2200XNC

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

Mrs. Shelby M Shirley Anp 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 ID1052548674
PECOS Enrollment IDI20131205001051
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 Shirley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
3024 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
Family Medicine
3020 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 213 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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

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 Shirley's NPI number?

The NPI number for Shelby Shirley is 1598085128. It was assigned to this individual provider in the NPPES registry on June 5, 2010.

Where is Shelby Shirley located?

Shelby Shirley practices at 3024 New Bern Ave Suite 60, Raleigh, NC 27610. The listed phone number is (919) 345-6874.

What is Shelby Shirley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelby Shirley enrolled in Medicare?

Yes. Shelby Shirley 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 Shirley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Shirley reassigns Medicare benefits to 2 organizations: Wakemed Specialists Group, LLC (Raleigh, NC) and Wake Specialty Physicians LLC (Raleigh, NC). 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 Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Shirley accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Shelby Shirley 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 Shirley was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.