SHANLEY BROOKE SHELBURNE PA-C
NPI 1679927123
Physician Assistant - Medical in Pennington Gap, VA

Q: What is Shanley Shelburne's NPI number?

The NPI number for Shanley Shelburne is 1679927123. It was assigned to this individual provider in the NPPES registry on April 21, 2016. The provider is also known as Shanley Brooke Church Pa-C.

Q: What is Shanley Shelburne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shanley Shelburne was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 21, 2016PECOS Enrolled

1800 COMBS RD, SUITE 7, PENNINGTON GAP, VA 24277(276) 546-4894 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shanley Brooke Shelburne Pa-c NPPES

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

SHANLEY BROOKE SHELBURNE PA-C (NPI 1679927123) is an individual medical provider in Pennington Gap, Virginia, licensed in Virginia (0110-005327) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679927123

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHANLEY BROOKE SHELBURNECredential: PA-C

Location Address1800 COMBS RD, SUITE 7Pennington Gap, VA 24277-1808

Mailing Address41830 E Morgan Ave Ste 202Pennington Gap, VA 24277-3218 · (336) 512-3162

Phone(276) 546-4894

Sole ProprietorNo

Enumeration DateApril 21, 2016

Last NPPES UpdateMay 4, 2017

✔ NPI 1679927123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in VA · 0110-005327✔ Licensed in KY · TC481

1800 COMBS RD, Pennington Gap, VA 24277

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Other Names 1

Former Name (1)Shanley Brooke Church Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanley Brooke Shelburne Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers22 claims22 services$6.37 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers12 claims12 services$169.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUBHASH C SAHA M.D.

Radiology (Diagnostic Radiology)

1800 COMBS RD
PENNINGTON GAP, VA 24277

Lee County (276) 546-1440

PATRICK A. MOLONY, MD PA

Clinic/Center (Rural Health)

1800 COMBS RD, SUITE 11
PENNINGTON GAP, VA 24277

Lee County (276) 546-3041

LITTON FAMILY MEDICINE PC

Family Medicine

1800 COMBS RD, SUITE 7
PENNINGTON GAP, VA 24277

Lee County (276) 546-4894

MARY GEHRING HAYES FNP

Nurse Practitioner

1800 COMBS RD
PENNINGTON GAP, VA 24277

Lee County (276) 546-1440

ASGHAR ALI MD

Internal Medicine

1800 COMBS RD, SUITE 3
PENNINGTON GAP, VA 24277

Lee County (276) 546-3870

STANISLAV T MERKA MD

Emergency Medicine

1800 COMBS RD
PENNINGTON GAP, VA 24277

Lee County (276) 546-1440

DR. JOHN SCOTT LITTON JR. M.D.

Family Medicine

1800 COMBS RD, SUITE 7
PENNINGTON GAP, VA 24277

Lee County (276) 546-4894

PHYSICIAN MANAGEMENT SERVICES OF VIRGINIA, LLC

Family Medicine

1800 COMBS RD
PENNINGTON GAP, VA 24277

Lee County (888) 829-8550

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 Shanley Shelburne's NPI number?

The NPI number for Shanley Shelburne is 1679927123. It was assigned to this individual provider in the NPPES registry on April 21, 2016. The provider is also known as Shanley Brooke Church Pa-C.

Where is Shanley Shelburne located?

Shanley Shelburne practices at 1800 Combs Rd Suite 7, Pennington Gap, VA 24277. The listed phone number is (276) 546-4894.

What is Shanley Shelburne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shanley Shelburne enrolled in Medicare?

Yes. Shanley Shelburne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shanley Shelburne was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.