SHELBY RAE BURTON – Physician Assistant, NPI 1013396779

SHELBY RAE BURTON is a healthcare provider. based in Newbury park, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110005020 (VA). The NPI Number for SHELBY RAE BURTON is 1013396779

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY RAE BURTON
NPI
1013396779
Phone
(805) 375-4400
Address
701 N WENDY DR
Enumeration Date
27 May 2015
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
5395052195
Group Practice PAC ID
2769395797
Professional Enrollment ID
I20150910002365
Address ID
VA236665963HA3000XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for SHELBY RAE BURTON

  • 701 N WENDY DR

    NEWBURY PARK, CA 913203066

    Phone: (805) 375-4400

    Type: Mailing

  • 701 N WENDY DR STE 400

    NEWBURY PARK, CA 913203066

    Phone: (805) 375-4400

    Fax: (805) 375-4424

    Type: Location

  • 6350 CENTER DR STE 200

    NORFOLK, VA 235024107

    Phone: (757) 905-5558

    Fax: (757) 213-5762

    Type: Mailing

  • 3000 COLISEUM DR STE 104

    HAMPTON, VA 236665963

    Phone: (757) 827-9400

    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: 2022-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150910002365IPhysician AssistantVATBD
I20181218001827IPhysician AssistantCATBD
I20220928001564IPhysician AssistantNCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5353$0
81003Automated urinalysis test1515$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 91320)

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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: 2769395797View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerNJ
Physician AssistantVA
-VA
-VA
Nurse PractitionerVA
-VA
H E M A T O L O G Y/ O N C O L O G YVA
Nurse PractitionerVA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I use this page to confirm SHELBY RAE BURTON's NPI?
Yes. SHELBY RAE BURTON is listed with NPI 1013396779 in the public NPI dataset.
Is SHELBY RAE BURTON still practicing?
SHELBY RAE BURTON is currently listed as active in the public NPI registry.
What is SHELBY RAE BURTON's specialty?
The listing groups SHELBY RAE BURTON with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SHELBY RAE BURTON list a practice location?
Patients near Newbury Park, California may find SHELBY RAE BURTON in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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