KRISTIN R SHELTON (OTD) – Occupational Therapist, NPI 1366287252

KRISTIN R SHELTON (OTD) is a healthcare provider. based in Wasilla, Alaska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD. They hold a License No. 226122 (AK). The NPI Number for KRISTIN R SHELTON (OTD) is 1366287252

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN R SHELTON (OTD)
NPI
1366287252
Phone
(630) 947-6478
Address
7468 N SAINT PAUL DR
Enumeration Date
1 July 2024
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073572578
Graduation Year
2024 (2 years ago)
PAC ID
7416495023
Group Practice PAC ID
0042109936
Professional Enrollment ID
I20240814002232
Address ID
AK996547108WA401XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

76 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for KRISTIN R SHELTON (OTD)

  • 7468 N SAINT PAUL DR

    WASILLA, AK 996549764

    Phone: (630) 947-6478

    Type: Mailing

  • 401 E BOGARD RD

    WASILLA, AK 996547108

    Phone: (907) 357-2578

    Fax: (907) 357-2529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-14

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
I20240814002232IOccupational Therapist In Private PracticeAKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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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: 0042109936View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Qualified Speech Language PathologistAK
Physical Therapist In Private PracticeAK
Qualified Speech Language PathologistAK
-AK
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

Is there an official ID for KRISTIN R SHELTON (OTD) in U.S. healthcare records?
The official identifier for KRISTIN R SHELTON (OTD) is NPI 1366287252.
Is there an active status for KRISTIN R SHELTON (OTD)?
For scheduling context, KRISTIN R SHELTON (OTD) is shown as active in the registry.
What clinical focus is listed for KRISTIN R SHELTON (OTD)?
At a glance, KRISTIN R SHELTON (OTD) is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Alaska is KRISTIN R SHELTON (OTD) registered?
Use Wasilla, Alaska as the headline location for KRISTIN R SHELTON (OTD) here.
Does KRISTIN R SHELTON (OTD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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