SHELBY MADOLYN WILLIS DO
NPI 1730701251
Emergency Medicine in Lawton, OK
About Shelby Madolyn Willis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY MADOLYN WILLIS DO (NPI 1730701251) is an individual emergency medicine provider in Lawton, Oklahoma, licensed in Oklahoma (7288) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with St John Owasso, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Shelby Madolyn Willis Do 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 Reassignments
5Medicare enrollment records show Shelby Willis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rush Springs, OK 73082
- Reassigned Medicare billing, Oklahoma enrollment
- 97 clinicians in this Medicare group
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 298 clinicians in this Medicare group
Okemah, OK 74859
- Reassigned Medicare billing, Texas enrollment
- 655 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 226 clinicians in this Medicare group
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 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 3
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St John Owasso
Acute Care Hospitals · Owasso, OKAscension St John Broken Arrow
Acute Care Hospitals · Broken Arrow, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73505 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.
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.
LAWTON, OK 73505
LAWTON, OK 73505
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 Shelby Willis's NPI number?
The NPI number for Shelby Willis is 1730701251. It was assigned to this individual provider in the NPPES registry on May 7, 2020.
Where is Shelby Willis located?
Shelby Willis practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 585-5545.
What is Shelby Willis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shelby Willis enrolled in Medicare?
Yes. Shelby Willis 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 organizations bill Medicare for Shelby Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Willis reassigns Medicare benefits to 5 organizations: Grady Memorial Hospital (Rush Springs, OK), South Central Emergency Services PC (Stillwater, OK), Creek Nation Hospital & Clinics (Okemah, OK), Emergency Medicine Physicians Of Tulsa County, LLC (Tulsa, OK) and St. John Physicians, Inc. (Tulsa, OK). Each 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 Shelby Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelby Willis accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Shelby Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shelby Willis affiliated with any hospitals?
According to CMS data, Shelby Willis is affiliated with St John Owasso and Ascension St John Broken Arrow.
When was this NPI record last updated?
The NPPES record for Shelby Willis was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shelby Madolyn Willis, DO · NPI 1730701251
Emergency Medicine physician in Lawton, Oklahoma. Individual provider, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1730701251 (Entity type: Individual)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 7288 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 W GORE BLVD, Lawton, OK 73505-6332
- **Phone:** (580) 585-5545
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Grady Memorial Hospital (NPI 1578592788, Rush Springs, OK); South Central Emergency Services PC (NPI 1558663724, Stillwater, OK); Creek Nation Hospital & Clinics (NPI 1467053173, Okemah, OK); Emergency Medicine Physicians Of Tulsa County, LLC (NPI 1003098773, Tulsa, OK); St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730701251) · Data from the CMS NPPES public registry.