Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RIDLEY S SHELBY
NPI 1922842798
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH

Active since June 25, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 522-2778 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 12, 2026, Jun 25, 2024 (2 updates tracked since 2024).

About Ridley S Shelby NPPES

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

RIDLEY S SHELBY (NPI 1922842798) is an individual student in an organized health care education/training program in Wright Patterson Afb, Ohio and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922842798
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRIDLEY S SHELBY
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address304 Longfellow LnColumbia, MO 65203-1625 · (573) 864-0178
Sole ProprietorYes
Enumeration DateJune 25, 2024
Last NPPES UpdateSeptember 12, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1922842798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 58.035861 (OH)
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridley S Shelby 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.

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.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

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 Ridley Shelby's NPI number?

The NPI number for Ridley Shelby is 1922842798. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Ridley Shelby located?

Ridley Shelby practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2778.

What is Ridley Shelby's specialty?

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

Is Ridley Shelby enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ridley Shelby was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.