JACK BARNETT JR. SHELTON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1184617227

JACK BARNETT JR. SHELTON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 47456 (MN). The NPI Number for JACK BARNETT JR. SHELTON (MD) is 1184617227

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JACK BARNETT JR. SHELTON (MD)
NPI
1184617227
Phone
(612) 767-8370
Address
2800 10TH AVE S STE 2200
Enumeration Date
24 August 2005
Last Update Date
26 August 2020

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
6127678370
Graduation Year
1992 (34 years ago)
PAC ID
0345282588
Group Practice PAC ID
2668464652
Professional Enrollment ID
I20050526000865
Address ID
MN554071311MI2800XSXXX457
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

518 PATHOLOGY in MN

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Provider Addresses for JACK BARNETT JR. SHELTON (MD)

  • 2200, 10th Avenue South, Phillips West, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    HOSPITAL PATHOLOGY ASSOC

    MINNEAPOLIS, MN 554071311

    Phone: (612) 767-8370

    Fax: (612) 767-8376

    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: 2005-05-26

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
I20050526000865IPathologyMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity385304$0
84165Protein measurement, serum249238$0
88112Cell examination of specimen, selective cellular enhancement technique210185$0
88173Evaluation of fine needle aspirate with interpretation and report167113$0
88341Special stained specimen slides to examine tissue, each additional procedure16242$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Provider's Procedures

JACK BARNETT JR. SHELTON (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMN88304Pathology examination of tissue using a microscope, moderately low complexity4646
PATHOLOGYMN88312Special stained specimen slides to identify organisms including interpretation and report7040

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: 2668464652View full group profile
NameSpecialtyState
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YIL
-MN
-MN
P A T H O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for JACK BARNETT JR. SHELTON (MD)?
The registry entry for JACK BARNETT JR. SHELTON (MD) shows NPI 1184617227.
Is JACK BARNETT JR. SHELTON (MD)'s NPI status active today?
Active status means JACK BARNETT JR. SHELTON (MD)'s NPI record is not deactivated in the public file.
How should patients interpret JACK BARNETT JR. SHELTON (MD)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for JACK BARNETT JR. SHELTON (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JACK BARNETT JR. SHELTON (MD)?
The directory associates JACK BARNETT JR. SHELTON (MD) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export JACK BARNETT JR. SHELTON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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