THOMAS SHELTON (LAT, ATC, RN) – Family Nurse Practitioner, NPI 1770575557

THOMAS SHELTON (LAT, ATC, RN) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials LAT, ATC, RN. They hold a License No. R103177 (AR). The NPI Number for THOMAS SHELTON (LAT, ATC, RN) is 1770575557

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS SHELTON (LAT, ATC, RN)
NPI
1770575557
Phone
(708) 273-3333
Address
3321 S BOWMAN RD APT 810
Enumeration Date
18 August 2005
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8438413517
Graduation Year
2020 (6 years ago)
PAC ID
6507272010
Group Practice PAC ID
8224031307
Professional Enrollment ID
I20221007000982
Address ID
SC295362549DI705XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for THOMAS SHELTON (LAT, ATC, RN)

  • 3321 S BOWMAN RD APT 810

    LITTLE ROCK, AR 722114679

    Phone: (708) 273-3333

    Type: Mailing

  • PO BOX 3239

    FLORENCE, SC 295023239

    Phone: (843) 487-1588

    Fax: (843) 487-1590

    Type: Mailing

  • 705 N 8TH AVE STE 1B

    DILLON, SC 295362549

    Phone: (843) 487-1588

    Fax: (843) 487-1590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-03-20 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-20

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: 2022-10-07

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
I20221007000982INurse PractitionerSCTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg924118$0
99213Established patient office or other outpatient visit, 20-29 minutes199139$0
20610Aspiration and/or injection of fluid from large joint173103$0
73562X-ray of knee, 3 views6658$0
27447Replacement of knee joint, both sides of knee5252$0
View full utilization report →

Insurance plans in this area (ZIP 72211)

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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: 8224031307View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NY
Physician AssistantFL
Certified Registered Nurse Anesthetist (Crna)NC
General SurgerySC
Physician AssistantSC
Nurse PractitionerSC
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)SC
Certified Registered Nurse Anesthetist (Crna)NC
Orthopedic SurgerySC
Family PracticeSC

Reviews

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Frequently asked questions

Can I verify THOMAS SHELTON (LAT, ATC, RN) with an NPI only?
You can start verification with NPI 1770575557 for THOMAS SHELTON (LAT, ATC, RN), then check state licensing separately.
Can I rely on THOMAS SHELTON (LAT, ATC, RN) being an active provider?
As of the registry snapshot, THOMAS SHELTON (LAT, ATC, RN) is marked active.
What is THOMAS SHELTON (LAT, ATC, RN)'s primary classification?
Family Nurse Practitioner is the headline specialty for THOMAS SHELTON (LAT, ATC, RN) here. Clinical services aligned with this taxonomy classification.
Where is THOMAS SHELTON (LAT, ATC, RN) based?
THOMAS SHELTON (LAT, ATC, RN) is tied to Little Rock, Arkansas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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