SHELLEY FOGT
NPI 1861856015
Nurse Practitioner - Family in Wapakoneta, OH

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
602 W REDSKIN TRL, WAPAKONETA, OH 45895(419) 738-5151 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Jan 4, 2021, Dec 28, 2020 and 3 more (6 updates tracked since 2018).

About Shelley Fogt NPPES

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

SHELLEY FOGT (NPI 1861856015) is an individual family provider in Wapakoneta, Ohio, licensed in Ohio (APRN.CNP.18696) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861856015
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLEY FOGT
Location Address602 W REDSKIN TRLWapakoneta, OH 45895-9349
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2016
Last NPPES UpdateFebruary 27, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1861856015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.18696
602 W REDSKIN TRL, Wapakoneta, OH 45895

Other Identifiers 1

Medicaid0205648OH

Accepted 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

Shelley Fogt 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 ID5092090795
PECOS Enrollment IDI20170320002639
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45895 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers24 claims50 services$4.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$0.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Nurse Practitioner (Family)
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Physician Assistant
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Nurse Practitioner
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Family Medicine
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Nurse Practitioner (Family)
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Family Medicine
602 W REDSKIN TRL
WAPAKONETA, OH 45895
Nurse Practitioner (Family)
602 W REDSKIN TRL
WAPAKONETA, OH 45895

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 Shelley Fogt's NPI number?

The NPI number for Shelley Fogt is 1861856015. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Shelley Fogt located?

Shelley Fogt practices at 602 W Redskin Trl, Wapakoneta, OH 45895. The listed phone number is (419) 738-5151.

What is Shelley Fogt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shelley Fogt enrolled in Medicare?

Yes. Shelley Fogt 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.

What insurance does Shelley Fogt accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Shelley Fogt 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 Shelley Fogt affiliated with any hospitals?

According to CMS data, Shelley Fogt is affiliated with Lima Memorial Health System and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Shelley Fogt was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.