BEATRIZ SHELTON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164309415

BEATRIZ SHELTON (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11041636 (FL). The NPI Number for BEATRIZ SHELTON (APRN) is 1164309415

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
BEATRIZ SHELTON (APRN)
NPI
1164309415
Phone
(904) 570-9404
Address
4655 SALISBURY RD STE 220
Enumeration Date
19 August 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045709404
Graduation Year
2025 (1 year ago)
PAC ID
6608379045
Group Practice PAC ID
3779991542
Professional Enrollment ID
I20250911004236
Address ID
FL322560959JA4655XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for BEATRIZ SHELTON (APRN)

  • 4655 SALISBURY RD STE 220

    JACKSONVILLE, FL 322560959

    Phone: (904) 570-9404

    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: 2025-09-11

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
I20250911004236INurse PractitionerFLTBD

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 32256)

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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: 3779991542View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Emergency MedicineFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check BEATRIZ SHELTON (APRN) using NPI 1164309415?
NPI 1164309415 belongs to BEATRIZ SHELTON (APRN); compare other details if you need extra assurance.
Active or inactive — what applies to BEATRIZ SHELTON (APRN)?
You should see BEATRIZ SHELTON (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with BEATRIZ SHELTON (APRN)?
BEATRIZ SHELTON (APRN)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BEATRIZ SHELTON (APRN) located near Jacksonville?
BEATRIZ SHELTON (APRN) currently maps to Jacksonville, Florida in this extract.
When was this NPI issued?
Enumeration for BEATRIZ SHELTON (APRN) is noted as August 19, 2025 where the registry provides it.

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