CHRISTY L SHACKELFORD
NPI 1790529154
Physician Assistant in Tallahassee, FL

Q: What is Christy Shackelford's NPI number?

The NPI number for Christy Shackelford is 1790529154. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Q: What is Christy Shackelford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment

3217 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308(850) 320-7693 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Jun 20, 2024 (2 updates tracked since 2024).

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About Christy L Shackelford NPPES

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

CHRISTY L SHACKELFORD (NPI 1790529154) is an individual physician assistant in Tallahassee, Florida, licensed in Florida (9119759) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790529154

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCHRISTY L SHACKELFORD

Location Address3217 CAPITAL MEDICAL BLVDTallahassee, FL 32308-4413

Mailing Address3217 Capital Medical BlvdTallahassee, FL 32308-4413

Phone(850) 320-7693

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 20, 2024

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1790529154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · 9119759

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3217 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Christy L Shackelford 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 ID1557891090

PECOS Enrollment IDI20250212002708

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 5

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

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