MISS SHELBY JO BAILEY (FNP-C) – Family Nurse Practitioner, NPI 1730600974

MISS SHELBY JO BAILEY (FNP-C) is a healthcare provider. based in Bolivar, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 2017018174 (MO). The NPI Number for MISS SHELBY JO BAILEY (FNP-C) is 1730600974

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MISS SHELBY JO BAILEY (FNP-C)
NPI
1730600974
Phone
(417) 680-7060
Address
107 N Main Ave
Enumeration Date
28 June 2017
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056573120
Graduation Year
2017 (9 years ago)
PAC ID
0840562021
Group Practice PAC ID
5092839357
Professional Enrollment ID
I20170823001177
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MISS SHELBY JO BAILEY (FNP-C)

  • 107 N Main Ave

    Bolivar, MO 65613

    Phone: (417) 680-7060

    Type: Location

  • 136 Highway 215

    Buffalo, MO 65622

    Phone: (417) 680-7060

    Fax: (417) 633-7542

    Type: Location

  • 926 MAIN ST

    NASHVILLE, TN 372063614

    Phone: (615) 436-9060

    Fax: (615) 235-9725

    Type: Location

  • 2848, West Maplewood Street, Wild Briar, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658077456

    Phone:

    Type: Mailing

  • Mercy Hospital Springfield, 1235, East Cherokee Street, Meador Park, Springfield, Greene County, Missouri, 65804, United States

    SPRINGFIELD, MO 658042203

    Phone: (417) 820-2000

    Type: Location

  • 2525 VISTA CT

    BOLIVAR, MO 656132259

    Phone: (417) 298-6908

    Type: Mailing

  • 136 HIGHWAY 215

    BUFFALO, MO 65622

    Phone: (417) 680-7060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$145

General + Research + Ownership

Payments

2

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170823001177INurse PractitionerMOTBD
I20221003002338INurse PractitionerIATBD
I20230302002836INurse PractitionerKSTBD

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
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional119115$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6740$0
99239Hospital discharge day management, more than 30 minutes3835$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2823$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2114$0
View full utilization report →

Insurance plans in this area (ZIP 65613)

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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: 5092839357View full group profile
NameSpecialtyState
Physician AssistantOK
Family PracticeOK
Internal MedicineOK
Physician AssistantOK
Physician AssistantOK
Internal MedicineOK
Radiation Oncology, Internal MedicineOK
General PracticeOK
Physician AssistantOK
Internal MedicineOK

Reviews

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Frequently asked questions

Where can patients find MISS SHELBY JO BAILEY (FNP-C)'s NPI?
You can confirm MISS SHELBY JO BAILEY (FNP-C) with NPI 1730600974; it appears in the national provider directory.
Does this profile mean MISS SHELBY JO BAILEY (FNP-C) is currently active?
Yes — MISS SHELBY JO BAILEY (FNP-C) appears active in the national provider directory.
What kind of provider is MISS SHELBY JO BAILEY (FNP-C)?
The page reflects Family Nurse Practitioner for MISS SHELBY JO BAILEY (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MISS SHELBY JO BAILEY (FNP-C)?
The page summarizes Bolivar, Missouri for MISS SHELBY JO BAILEY (FNP-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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