SHELBY E BRINSON (PA) – Physician Assistant, NPI 1063535151

SHELBY E BRINSON (PA) is a healthcare provider. based in Pensacola, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9104115 (FL). The NPI Number for SHELBY E BRINSON (PA) is 1063535151

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY E BRINSON (PA)
NPI
1063535151
Phone
(850) 226-6801
Address
4457 BAYOU BLVD
Enumeration Date
6 April 2007
Last Update Date
14 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502266801
Graduation Year
2006 (20 years ago)
PAC ID
0042393472
Group Practice PAC ID
8527364058
Professional Enrollment ID
I20080208000175
Address ID
FL325048918PE5111XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for SHELBY E BRINSON (PA)

  • 4457 BAYOU BLVD

    PENSACOLA, FL 325032601

    Phone: (850) 226-6801

    Type: Mailing

  • 1851 SAINT MARY AVE

    PENSACOLA, FL 325011053

    Phone: (850) 226-6801

    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 $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Boston Scientific Corporation ($128).

Total Amount

$128

General + Research + Ownership

Payments

1

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2008-02-08

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
I20080208000175IPhysician AssistantFLTBD

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 32503)

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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: 8527364058View full group profile

Reviews

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Frequently asked questions

What is the standard ID for SHELBY E BRINSON (PA) in the U.S.?
In the U.S., SHELBY E BRINSON (PA) is identified by NPI 1063535151.
Is SHELBY E BRINSON (PA) currently accepting referrals based on NPI status?
Registry metadata lists SHELBY E BRINSON (PA) as active.
What does the directory say SHELBY E BRINSON (PA) does?
Insurance directories may phrase it differently, but here SHELBY E BRINSON (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to SHELBY E BRINSON (PA)?
The directory associates SHELBY E BRINSON (PA) with Pensacola, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for SHELBY E BRINSON (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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