SHELLY CHURCHILL
NPI 1720731813
Nurse Practitioner in Tampa, FL

Q: What is Shelly Churchill's NPI number?

The NPI number for Shelly Churchill is 1720731813. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Q: What is Shelly Churchill's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Churchill was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 31, 2022PECOS EnrolledAccepts Medicare Assignment

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 745-3540 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Nov 7, 2025, Mar 15, 2023 and 2 more (5 updates tracked since 2022).

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About Shelly Churchill NPPES

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

SHELLY CHURCHILL (NPI 1720731813) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11017691) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720731813

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELLY CHURCHILL

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 449-8618

Phone(813) 745-4673

Fax(813) 745-3540

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 31, 2022

Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1720731813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11017691

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.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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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

Shelly Churchill 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 ID9234522848

PECOS Enrollment IDI20220203000425

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 2

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100046

Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County

Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100319

Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

DR. MICHAEL MARTIN WACH MD

Surgery