NATALIE NICHOLE SHIRLEY – Mental Health Counselor, NPI 1336908391

NATALIE NICHOLE SHIRLEY is a healthcare provider. based in Wellington, Kansas. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for NATALIE NICHOLE SHIRLEY is 1336908391

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE NICHOLE SHIRLEY
NPI
1336908391
Phone
(620) 326-7448
Address
1601 W 16TH ST
Enumeration Date
13 March 2024
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203267448
Graduation Year
2024 (2 years ago)
PAC ID
0749717726
Group Practice PAC ID
1759337959
Professional Enrollment ID
I20250103000264
Address ID
KS671528125WE1601XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

Provider Addresses for NATALIE NICHOLE SHIRLEY

  • 1601 W 16TH ST

    WELLINGTON, KS 671528125

    Phone: (620) 326-7448

    Fax: (620) 326-6662

    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: 2025-01-03

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
I20250103000264IMental Health CounselorKSTBD

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 67152)

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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: 1759337959View full group profile
NameSpecialtyState
Clinical Social WorkerKS
-KS
Marriage And Family TherapistKS
Nurse PractitionerKS
Mental Health CounselorKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Marriage And Family TherapistKS
Clinical Social WorkerKS
P S Y C H I A T R YKS

Reviews

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Frequently asked questions

What unique ID ties claims to NATALIE NICHOLE SHIRLEY?
NPI 1336908391 is assigned to NATALIE NICHOLE SHIRLEY under the national enumeration system.
Does this profile mean NATALIE NICHOLE SHIRLEY is currently active?
Yes — NATALIE NICHOLE SHIRLEY appears active in the national provider directory.
What does NATALIE NICHOLE SHIRLEY treat or focus on?
Patients typically see NATALIE NICHOLE SHIRLEY under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for NATALIE NICHOLE SHIRLEY?
We surface Wellington, Kansas for NATALIE NICHOLE SHIRLEY based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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