MRS. SHELLY C MCCORMICK M.D.
NPI 1790778496
Pediatrics in West Monroe, LA

Q: 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.

Q: What is Shelly Mccormick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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 2 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 August 26, 2005PECOS Enrolled

503 MCMILLAN RD, WEST MONROE, LA 71291(318) 329-8310(318) 329-8313 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Apr 7, 2026, Jun 12, 2025 and 6 more (9 updates tracked since 2019).

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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, maintains 4 additional practice locations, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1991).

NPPES Registry Identity

NPI1790778496

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. SHELLY C MCCORMICKCredential: M.D.

Location Address503 MCMILLAN RDWest Monroe, LA 71291

Mailing Address1541 Kings HwyShreveport, LA 71103-4228

Phone(318) 329-8310

Fax(318) 329-8313

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1991

Enumeration DateAugust 26, 2005

Last NPPES UpdateJune 3, 20269 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1790778496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in LA · 021354✔ Licensed in CO · DR.63225✔ Licensed in CO · DR.0063225✔ Licensed in OH · 35C.000651

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 021354 (LA), 30575 (MS)

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 30575 (MS), 021354 (LA)

Also ListedHospitalistTaxonomy 208M00000X · License 35C.000651 (OH)

503 MCMILLAN RD, West Monroe, LA 71291

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Secondary Practice Locations 4

Location 11541 Kings HwyShreveport, LA 71103-4228 · Phone (318) 212-9440

Location 2335 Glessner AveMansfield, OH 44903-2269 · Phone (419) 526-8136

Location 3309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4470

Location 4401 N Ewing StLancaster, OH 43130-3372 · Phone (740) 687-8000

Other Identifiers 2

Medicaid0024372OH

Medicaid1551104LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, 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 (PECOS)

Mrs. Shelly C Mccormick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254714702

PECOS Enrollment IDI20250723002901

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 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.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

MR. JOHN EDWARD ZITZMANN III R.PH.

Pharmacist