SHELBY JOY ANDERSON (DC) – Chiropractor, NPI 1124890702

SHELBY JOY ANDERSON (DC) is a healthcare provider. based in Pensacola, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH14738 (FL). The NPI Number for SHELBY JOY ANDERSON (DC) is 1124890702

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY JOY ANDERSON (DC)
NPI
1124890702
Phone
(850) 473-5555
Address
1090 SCENIC HWY
Enumeration Date
26 October 2023
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509955773
Graduation Year
2023 (3 years ago)
PAC ID
4880041730
Group Practice PAC ID
0143387779
Professional Enrollment ID
I20231114002590
Address ID
FL325718717PA4650XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for SHELBY JOY ANDERSON (DC)

  • 1090 SCENIC HWY

    PENSACOLA, FL 325036617

    Phone: (850) 473-5555

    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)

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: 2023-11-14

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
I20231114002590IChiropracticFLTBD

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: 0143387779View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
-FL
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

What is the registry number for SHELBY JOY ANDERSON (DC)?
The registry entry for SHELBY JOY ANDERSON (DC) shows NPI 1124890702.
Is SHELBY JOY ANDERSON (DC)'s NPI status active today?
Active status means SHELBY JOY ANDERSON (DC)'s NPI record is not deactivated in the public file.
Which specialty label fits SHELBY JOY ANDERSON (DC)?
NPPES ties SHELBY JOY ANDERSON (DC) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHELBY JOY ANDERSON (DC)?
SHELBY JOY ANDERSON (DC) is associated with Pensacola, Florida in the same public data insurers reference.
Why is information missing for SHELBY JOY ANDERSON (DC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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