KIESHA SHELTON
NPI 1649976655
Nurse Practitioner in Cleveland, TN

Active since February 01, 2023PECOS EnrolledAccepts Medicare Assignment
2705 PINE DR NE, CLEVELAND, TN 37312(423) 495-2525 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2023, Feb 1, 2023 (2 updates tracked since 2023).

About Kiesha Shelton NPPES

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

KIESHA SHELTON (NPI 1649976655) is an individual nurse practitioner in Cleveland, Tennessee, licensed in Tennessee (33548) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649976655
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIESHA SHELTON
Location Address2705 PINE DR NECleveland, TN 37312-5516
Mailing Address2525 Desales AveChattanooga, TN 37404-1161
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 1, 2023
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1649976655 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 TN · 33548
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 ListedRegistered NurseTaxonomy 163W00000X · License 177516 (TN)
2705 PINE DR NE, Cleveland, TN 37312

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kiesha Shelton 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 ID4082053376
PECOS Enrollment IDI20240419000583
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.

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

The NPI number assigned to this healthcare provider is 1649976655, enumerated as an "individual" on February 01, 2023.

The provider is located at 2705 PINE DR NE CLEVELAND, TN 37312 and the phone number is (423) 495-2525.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Kiesha Shelton is affiliated with: ERLANGER MEDICAL CENTER.