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JEREMY SHELTON MD
NPI 1821417825
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since April 08, 2014PECOS Enrolled
1115 W 17TH ST, TULSA, OK 74107(918) 295-3400(918) 585-1549 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Jeremy Shelton Md NPPES

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

JEREMY SHELTON MD (NPI 1821417825) is an individual student in an organized health care education/training program in Tulsa, Oklahoma, licensed in Oklahoma (32607) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821417825
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY SHELTONCredential: MD
Location Address1115 W 17TH STTulsa, OK 74107-1800
Mailing Address1121 21st Ave S, Cc-3322 Medical Center NorthNashville, TN 37232-2561 · (615) 343-4882
Phone(918) 295-3400
Fax(918) 585-1549
Sole ProprietorNo
Enumeration DateApril 8, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1821417825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OK · 32607
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 W 17TH ST, Tulsa, OK 74107
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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 (PECOS)

Jeremy Shelton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jeremy Shelton's NPI number?

The NPI number for Jeremy Shelton is 1821417825. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Jeremy Shelton located?

Jeremy Shelton practices at 1115 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 295-3400.

What is Jeremy Shelton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Shelton enrolled in Medicare?

Yes. Jeremy Shelton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Shelton was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.