MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1740524909

MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) is a healthcare provider. based in Linden, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, NP-C, FNP. They hold a License No. 26NJ00402800 (NJ). The NPI Number for MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) is 1740524909

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP)
NPI
1740524909
Phone
(201) 500-6992
Address
337 ACADEMY TER
Enumeration Date
12 November 2012
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322357615
Graduation Year
2012 (14 years ago)
PAC ID
5799923892
Group Practice PAC ID
5193764991
Professional Enrollment ID
I20130531000362
Address ID
NJ089011914NE200XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP)

  • 337 ACADEMY TER

    LINDEN, NJ 070365601

    Phone: (201) 500-6992

    Fax: (833) 605-4359

    Type: Location

  • 403 Hollywood Ave

    Hillside, NJ 072052715

    Phone: (973) 760-0707

    Type: Location

  • 403 HOLLYWOOD AVE

    HILLSIDE, NJ 072052715

    Phone: (973) 760-0707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: ABBVIE INC. ($210).

Total Amount

$228

General + Research + Ownership

Payments

14

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2013-05-31

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
I20130531000362INurse PractitionerNJTBD

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
38222Biopsy and aspiration of bone marrow sample for diagnosis2925$0
View full utilization report →

Insurance plans in this area (ZIP 07036)

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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: 5193764991View full group profile
NameSpecialtyState
U R O L O G YCA
Infectious DiseaseMI
Cardiovascular Disease (Cardiology)NJ
G A S T R O E N T E R O L O G YMD
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerNJ
Infectious DiseaseMI
Cardiovascular Disease (Cardiology)NJ
Radiation OncologyNJ
Infectious DiseaseNY

Reviews

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Frequently asked questions

How is MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) identified in CMS data?
CMS-hosted NPPES data lists MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) with NPI 1740524909.
Can I rely on MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) being an active provider?
As of the registry snapshot, MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) is marked active.
What is MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) here. Clinical services aligned with this taxonomy classification.
Where is MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) based?
MISS SHELLY CLAVIS (RN, MSN, NP-C, FNP) is tied to Linden, New Jersey in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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