SHELLEY THERESA BAILEY
NPI 1619527496
Nurse Practitioner - Psychiatric/Mental Health in Atascadero, CA
About Shelley Theresa Bailey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY THERESA BAILEY (NPI 1619527496) is an individual psychiatric/mental health provider in Atascadero, California, licensed in California (95027557) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Maria.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelley Theresa Bailey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelley Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atascadero, CA 93422
- Reassigned Medicare billing, California enrollment
- 755 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 93422 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATASCADERO, CA 93422
ATASCADERO, CA 93422
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 Shelley Bailey's NPI number?
The NPI number for Shelley Bailey is 1619527496. It was assigned to this individual provider in the NPPES registry on September 13, 2019.
Where is Shelley Bailey located?
Shelley Bailey practices at 10333 El Camino Real, Atascadero, CA 93422. The listed phone number is (805) 468-2000.
What is Shelley Bailey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shelley Bailey enrolled in Medicare?
Yes. Shelley Bailey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelley Bailey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Bailey reassigns Medicare benefits to Department Of State Hospitals (Atascadero, CA). 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 Shelley Bailey'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 Shelley Bailey was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Shelley Theresa Bailey · NPI 1619527496
Psychiatric/Mental Health physician in Atascadero, California. Individual provider, active in the CMS NPPES registry since September 13, 2019.
## Identity
- **NPI:** 1619527496 (Entity type: Individual)
- **Enumerated:** September 13, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95027557 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10333 EL CAMINO REAL, Atascadero, CA 93422-5808
- **Phone:** (805) 468-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Department Of State Hospitals (NPI 1174573802, Atascadero, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619527496) · Data from the CMS NPPES public registry.