MRS. SHELLY C MCCORMICK M.D.
NPI 1790778496
Pediatrics in West Monroe, LA
About Mrs. Shelly C Mccormick M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHELLY C MCCORMICK M.D. (NPI 1790778496) is an individual pediatrics provider in West Monroe, Louisiana, licensed in Louisiana (021354) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 5
Other Identifiers 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 (PECOS)
Mrs. Shelly C Mccormick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Shelly Mccormick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, LA 71201
- Reassigned Medicare billing, Louisiana enrollment
- 65 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Mancos, CO 81328
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1649241571 (Colorado)
- 97 clinicians in this Medicare group
Miles City, MT 59301
- Reassigned Medicare billing, Montana enrollment
- 1,264 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shelly Mccormick's NPI number?
The NPI number for Shelly Mccormick is 1790778496. It was assigned to this individual provider in the NPPES registry on August 26, 2005.
Where is Shelly Mccormick located?
Shelly Mccormick practices at 503 Mcmillan Rd, West Monroe, LA 71291. The listed phone number is (318) 329-8310.
What is Shelly Mccormick's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shelly Mccormick enrolled in Medicare?
Yes. Shelly Mccormick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shelly Mccormick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Mccormick reassigns Medicare benefits to 4 organizations: St Francis Medical Center, Inc (Monroe, LA), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), Southwest Health System, Inc. (Mancos, CO) and Billings Clinic (Miles City, MT). 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 Shelly Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Mccormick accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Shelly Mccormick 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.
When was this NPI record last updated?
The NPPES record for Shelly Mccormick was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Shelly C Mccormick, M.D. · NPI 1790778496
Pediatrics physician in West Monroe, Louisiana. Individual provider, active in the CMS NPPES registry since August 26, 2005.
## Identity
- **NPI:** 1790778496 (Entity type: Individual)
- **Enumerated:** August 26, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 021354 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 503 MCMILLAN RD, West Monroe, LA 71291
- **Phone:** (318) 329-8310 · **Fax:** (318) 329-8313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Francis Medical Center, Inc (NPI 1437149168, Monroe, LA); Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); Southwest Health System, Inc. (NPI 1902162753, Mancos, CO); Billings Clinic (NPI 1427194836, Miles City, MT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
- **Other identifiers:** Medicaid 0024372 (OH); Medicaid 1551104 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1790778496) · Data from the CMS NPPES public registry.