SHELLY DIANE PRINCE APRN
NPI 1972144475
Nurse Practitioner - Family in Tulsa, OK
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 maintains a secondary practice location in Tulsa.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Shelly Prince reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 1,144 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 226 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 263 clinicians in this Medicare group
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 147 clinicians in this Medicare group
Sherman, TX 75092
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OKPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Shelly Prince's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Prince reassigns Medicare benefits to 6 organizations: Warren Clinic Inc (Tulsa, OK), Emergency Medicine Physicians Of Tulsa County, LLC (Tulsa, OK), Ies ER Oklahoma LLC (Tulsa, OK), St. John Physicians, Inc. (Tulsa, OK), Stillwater Medical Center Authority (Stillwater, OK) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelly Prince accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare 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.
# Shelly Diane Prince, APRN · NPI 1972144475
Family physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since October 5, 2019.
## Identity
- **NPI:** 1972144475 (Entity type: Individual)
- **Enumerated:** October 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 90580 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 717 W 71ST ST, Tulsa, OK 74132-1824
- **Phone:** (918) 517-6300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Warren Clinic Inc (NPI 1174582282, Tulsa, OK); Emergency Medicine Physicians Of Tulsa County, LLC (NPI 1003098773, Tulsa, OK); Ies ER Oklahoma LLC (NPI 1447148093, Tulsa, OK); St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Stillwater Medical Center Authority (NPI 1164494027, Stillwater, OK); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972144475) · Data from the CMS NPPES public registry.