SHELBY DENISE MCCORMICK
NPI 1922708247
Dentist in Youngstown, FL

Q: What is Shelby Mccormick's NPI number?

The NPI number for Shelby Mccormick is 1922708247. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Q: What is Shelby Mccormick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Mccormick was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 06, 2023PECOS Enrolled

12427 HIGHWAY 231, YOUNGSTOWN, FL 32466(850) 753-3246 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, Apr 10, 2026, Mar 6, 2023 (3 updates tracked since 2023).

On this page

About Shelby Denise Mccormick NPPES

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

SHELBY DENISE MCCORMICK (NPI 1922708247) is an individual dentist in Youngstown, Florida, licensed in Florida (DN30962) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922708247

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHELBY DENISE MCCORMICK

Location Address12427 HIGHWAY 231Youngstown, FL 32466-2562

Mailing Address403 E 11th StPanama City, FL 32401-3409 · (850) 747-5599 · Fax (850) 872-4131

Phone(850) 753-3246

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 6, 2023

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1922708247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN30962

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12427 HIGHWAY 231, Youngstown, FL 32466

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Denise Mccormick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628567070

PECOS Enrollment IDI20251027004615

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pancare Of Florida, Inc

18 mi

Federally Qualified Health Center (FQHC)

2235 E 15TH ST
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
51 clinicians in this Medicare group

NPI 1366456287 (850) 747-5272

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 32466 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.

DR. SHEENA R PATE DMD

Dentist (General Practice)