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SHELLY DIANE PRINCE APRN
NPI 1972144475
Nurse Practitioner - Family in Tulsa, OK

Active since October 05, 2019PECOS EnrolledAccepts Medicare Assignment
717 W 71ST ST, TULSA, OK 74132(918) 517-6300 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Jul 11, 2023, Oct 5, 2019 (3 updates tracked since 2019).

About Shelly Diane Prince Aprn NPPES

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

SHELLY DIANE PRINCE APRN (NPI 1972144475) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (90580) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972144475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY DIANE PRINCECredential: APRN
Location Address717 W 71ST STTulsa, OK 74132-1824
Mailing Address4953 S 185th East AveTulsa, OK 74134-7321 · (918) 508-1922
Phone(918) 517-6300
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 5, 2019
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1972144475 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 OK · 90580
717 W 71ST ST, Tulsa, OK 74132
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Shelly Diane Prince Aprn 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 ID5294168969
PECOS Enrollment IDI20191211000209
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.

Hospital Affiliations CMS Care Compare

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74132 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES

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

DR. JEREMY TODD SMITH D.O.
Emergency Medicine
717 W 71ST ST
TULSA, OK 74132
Tulsa County (918) 517-6300

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 Shelly Prince's NPI number?

The NPI number for Shelly Prince is 1972144475. It was assigned to this individual provider in the NPPES registry on October 5, 2019.

Where is Shelly Prince located?

Shelly Prince practices at 717 W 71st St, Tulsa, OK 74132. The listed phone number is (918) 517-6300.

What is Shelly Prince's specialty?

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

Is Shelly Prince enrolled in Medicare?

Yes. Shelly Prince 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 Shelly Prince accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Shelly Prince 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 Shelly Prince affiliated with any hospitals?

According to CMS data, Shelly Prince is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Shelly Prince was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.