STEPHANIE SHELLMAN FNP
NPI 1720630643
Nurse Practitioner - Family in Walton, NY
About Stephanie Shellman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE SHELLMAN FNP (NPI 1720630643) is an individual family provider in Walton, New York, licensed in New York (F344656-01) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Stephanie Shellman Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Shellman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cooperstown, NY 13326
- Reassigned Medicare billing, New York enrollment
- 1,052 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 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurelia Osborn Fox Memorial Hospital
Acute Care Hospitals · Oneonta, NYBassett Healthcare
Acute Care Hospitals · Cooperstown, NYO'connor Hospital
Critical Access Hospitals · Delhi, NYDelaware Valley Hospital, Inc
Critical Access Hospitals · Walton, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13856 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephanie Shellman's NPI number?
The NPI number for Stephanie Shellman is 1720630643. It was assigned to this individual provider in the NPPES registry on July 11, 2019.
Where is Stephanie Shellman located?
Stephanie Shellman practices at 130 North St, Walton, NY 13856. The listed phone number is (607) 865-6541.
What is Stephanie Shellman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Shellman enrolled in Medicare?
Yes. Stephanie Shellman 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 organization bills Medicare for Stephanie Shellman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Shellman reassigns Medicare benefits to Mary Imogene Bassett Hospital (Cooperstown, NY). 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 Stephanie Shellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Stephanie Shellman affiliated with any hospitals?
According to CMS data, Stephanie Shellman is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital and Delaware Valley Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Stephanie Shellman was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stephanie Shellman, FNP · NPI 1720630643
Family physician in Walton, New York. Individual provider, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1720630643 (Entity type: Individual)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344656-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 NORTH ST, Walton, NY 13856-1299
- **Phone:** (607) 865-6541 · **Fax:** (607) 865-9164
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mary Imogene Bassett Hospital (NPI 1083664221, Cooperstown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720630643) · Data from the CMS NPPES public registry.