MRS. MARY E. SHELLHOUSE (CRNP) – Nurse Practitioner, NPI 1639143837

MRS. MARY E. SHELLHOUSE (CRNP) is a healthcare provider. based in Andalusia, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-097517 (AL). The NPI Number for MRS. MARY E. SHELLHOUSE (CRNP) is 1639143837

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY E. SHELLHOUSE (CRNP)
NPI
1639143837
Phone
(334) 222-5781
Address
P O BOX 640
Enumeration Date
14 February 2006
Last Update Date
14 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342225781
Graduation Year
2004 (22 years ago)
PAC ID
8628011731
Group Practice PAC ID
2466495676
Professional Enrollment ID
I20050608000983
Address ID
AL364205323AN115XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MRS. MARY E. SHELLHOUSE (CRNP)

  • Avenida de la Ilustración 80, Avenida de la Ilustración, Zaidín - Vergeles, Zaidín, Granada, Comarca de la Vega de Granada, Granada, Andalusia, 18016, Spain

    115 MEDICAL PARK DRIVE

    ANDALUSIA, AL 36420

    Phone: (334) 222-5781

    Fax: (334) 222-5794

    Type: Mailing

  • Medical Park Drive, Andalusia, Covington County, Alabama, 36420, United States

    ANDALUSIA, AL 36420

    Phone: (334) 222-5781

    Fax: (334) 222-5794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($34).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050608000983INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test5242$0
85018Blood count, hemoglobin4645$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3838$0
99214Established patient office or other outpatient visit, 30-39 minutes3737$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 36420)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466495676View full group profile
NameSpecialtyState
-CO
-AL
O B S T E T R I C S/ G Y N E C O L O G YMS
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is MRS. MARY E. SHELLHOUSE (CRNP) listed with a National Provider Identifier?
Yes — MRS. MARY E. SHELLHOUSE (CRNP) has NPI 1639143837 on file in the registry.
Is MRS. MARY E. SHELLHOUSE (CRNP) still an active registrant?
MRS. MARY E. SHELLHOUSE (CRNP) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. MARY E. SHELLHOUSE (CRNP)?
At a glance, MRS. MARY E. SHELLHOUSE (CRNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. MARY E. SHELLHOUSE (CRNP) located near Andalusia?
MRS. MARY E. SHELLHOUSE (CRNP) currently maps to Andalusia, Alabama in this extract.
Can I trust this NPI listing for MRS. MARY E. SHELLHOUSE (CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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