SHELBY BROWN – Family Nurse Practitioner, NPI 1023873171

SHELBY BROWN is a healthcare provider. based in Malden, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2023125673 (AR). The NPI Number for SHELBY BROWN is 1023873171

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY BROWN
NPI
1023873171
Phone
(501) 626-8615
Address
22983 COUNTY ROAD 220
Enumeration Date
19 February 2024
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709361000
Graduation Year
2023 (3 years ago)
PAC ID
0042757056
Group Practice PAC ID
2466364997
Professional Enrollment ID
I20240807002879
Address ID
AR724058413JO4800XAVEX400
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

7,017 NURSE PRACTITIONER in MO

Provider Addresses for SHELBY BROWN

  • 22983 COUNTY ROAD 220

    MALDEN, MO 638632488

    Phone: (501) 626-8615

    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: 2024-08-07

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
I20240807002879INurse PractitionerARTBD

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 63863)

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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: 2466364997View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineWV
-AR
Emergency MedicineMA
-TN
-KY
Emergency Medicine, Internal Medicine, Emergency MedicineFL
Emergency MedicineTX
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

What federal number belongs to SHELBY BROWN?
The federal identifier for SHELBY BROWN is NPI 1023873171.
Is SHELBY BROWN currently active in the NPI registry?
CMS-published data lists SHELBY BROWN as an active registrant.
Can you summarize SHELBY BROWN's specialty in plain language?
Clinically, the directory lists SHELBY BROWN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHELBY BROWN?
The page summarizes Malden, Missouri for SHELBY BROWN; expand the address list for detail.
Is SHELBY BROWN a real provider?
This page reflects official NPPES data for NPI 1023873171. Always confirm identity and privileges with the practice and licensing boards.

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