SHELBY DUFFEY (AGACNP-BC, FNP-BC) – Nurse Practitioner, NPI 1902675218

SHELBY DUFFEY (AGACNP-BC, FNP-BC) is a healthcare provider. based in Pueblo west, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC, FNP-BC. They hold a License No. 1652086 (CO). The NPI Number for SHELBY DUFFEY (AGACNP-BC, FNP-BC) is 1902675218

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY DUFFEY (AGACNP-BC, FNP-BC)
NPI
1902675218
Phone
(719) 281-9587
Address
141 S PURCELL BLVD STE 140
Enumeration Date
28 December 2023
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7192819587
Graduation Year
2023 (3 years ago)
PAC ID
5496191520
Group Practice PAC ID
5991138802
Professional Enrollment ID
I20240312002570
Address ID
CO810075123PU141XXBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for SHELBY DUFFEY (AGACNP-BC, FNP-BC)

  • 141 S PURCELL BLVD STE 140

    PUEBLO WEST, CO 810075123

    Phone: (719) 281-9587

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $414.

Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($92).

Total Amount

$414

General + Research + Ownership

Payments

21

Total payment records

General Amount

$414

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2024-03-12

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
I20240312002570INurse PractitionerCOTBD

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 81007)

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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: 5991138802View full group profile
NameSpecialtyState
Nurse PractitionerCO

Reviews

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Frequently asked questions

How is SHELBY DUFFEY (AGACNP-BC, FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists SHELBY DUFFEY (AGACNP-BC, FNP-BC) with NPI 1902675218.
Is SHELBY DUFFEY (AGACNP-BC, FNP-BC) listed as active for patients and plans?
The listing shows SHELBY DUFFEY (AGACNP-BC, FNP-BC) as active in the NPI system.
What is SHELBY DUFFEY (AGACNP-BC, FNP-BC)'s primary classification?
Nurse Practitioner is the headline specialty for SHELBY DUFFEY (AGACNP-BC, FNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for SHELBY DUFFEY (AGACNP-BC, FNP-BC)?
SHELBY DUFFEY (AGACNP-BC, FNP-BC)'s geographic hint is Pueblo West, Colorado in our summary view.
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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