SHELLEY D SEABOLT (NP) – Nurse Practitioner, NPI 1508330796

SHELLEY D SEABOLT (NP) is a healthcare provider. based in Fort wayne, Indiana. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 28197368A (IN). The NPI Number for SHELLEY D SEABOLT (NP) is 1508330796

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY D SEABOLT (NP)
NPI
1508330796
Phone
(260) 484-8830
Address
7910 W JEFFERSON BLVD STE 108
Enumeration Date
22 January 2019
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604848830
Graduation Year
2018 (8 years ago)
PAC ID
2668715319
Group Practice PAC ID
2961394440
Professional Enrollment ID
I20190520002864
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for SHELLEY D SEABOLT (NP)

  • 108, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States

    FORT WAYNE, IN 468044159

    Phone: (260) 484-8830

    Fax: (260) 483-1911

    Type: Location

  • 2121 LAKE AVE

    FORT WAYNE, IN 468055100

    Phone: (260) 426-5431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($22).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46804)

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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: 2961394440View full group profile
NameSpecialtyState
-IN
-IN
-IN
H E M A T O L O G Y/ O N C O L O G YGA
-IN
Hematology/Oncology, Internal MedicineIN
Medical OncologyIN
H E M A T O L O G Y/ O N C O L O G YIN
H E M A T O L O G Y/ O N C O L O G YIN
H E M A T O L O G Y/ O N C O L O G YIN

Reviews

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Frequently asked questions

Can I use this page to confirm SHELLEY D SEABOLT (NP)'s NPI?
Yes. SHELLEY D SEABOLT (NP) is listed with NPI 1508330796 in the public NPI dataset.
Can I rely on SHELLEY D SEABOLT (NP) being an active provider?
As of the registry snapshot, SHELLEY D SEABOLT (NP) is marked active.
What healthcare role does SHELLEY D SEABOLT (NP) hold?
Scheduling teams often label SHELLEY D SEABOLT (NP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SHELLEY D SEABOLT (NP) serve?
SHELLEY D SEABOLT (NP)'s listing highlights Fort Wayne, Indiana; more addresses can appear in NPPES.
Is the information about SHELLEY D SEABOLT (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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