1. Home
  2. Directory
  3. Florida
  4. Youngstown
  5. Dentist
  6. NPI Profile

SHELBY DENISE MCCORMICK
NPI 1922708247
Dentist in Youngstown, FL

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: July 26, 2026.

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

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)
12427 HIGHWAY 231
YOUNGSTOWN, FL 32466
Bay County (850) 753-3246
DR. STEVEN CURTIS BARRY D.M.D.
Dentist (General Practice)
12427 HIGHWAY 231
YOUNGSTOWN, FL 32466
Bay County (850) 753-3246
PANCARE OF FLORIDA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12427 HIGHWAY 231
YOUNGSTOWN, FL 32466
Bay County (850) 753-3246
PANCARE OF FLORIDA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12427 HIGHWAY 231
YOUNGSTOWN, FL 32466
Bay County (850) 753-3246
MR. DAVID QUESADA TRIGONIS LCSW
Social Worker (Clinical)
12427 HIGHWAY 231
YOUNGSTOWN, FL 32466
Bay County (850) 753-3246

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 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.

Where is Shelby Mccormick located?

Shelby Mccormick practices at 12427 Highway 231, Youngstown, FL 32466. The listed phone number is (850) 753-3246.

What is Shelby Mccormick's specialty?

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

Is Shelby Mccormick enrolled in Medicare?

Yes. Shelby Mccormick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Mccormick was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.