STEPHANIE SHELLMAN (FNP) – Family Nurse Practitioner, NPI 1720630643

STEPHANIE SHELLMAN (FNP) is a healthcare provider. based in Walton, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F344656-01 (NY). The NPI Number for STEPHANIE SHELLMAN (FNP) is 1720630643

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SHELLMAN (FNP)
NPI
1720630643
Phone
(607) 865-6541
Address
130 NORTH ST
Enumeration Date
11 July 2019
Last Update Date
21 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6077460300
Graduation Year
2019 (7 years ago)
PAC ID
6002248432
Group Practice PAC ID
3779488325
Professional Enrollment ID
I20191122001573
Address ID
NY137537407DE460XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

Provider Addresses for STEPHANIE SHELLMAN (FNP)

  • 130 NORTH ST

    WALTON, NY 138561299

    Phone: (607) 865-6541

    Fax: (607) 865-9164

    Type: Location

  • East Branch, Municipality of Pictou County, Pictou County, Nova Scotia, Canada

    EAST BRANCH, NY 137560082

    Phone: (607) 727-7123

    Type: Mailing

  • O'Connor Hospital, 460, Andes Road, Delhi, Town of Delhi, Delaware County, New York, 13753, United States

    DELHI, NY 137537407

    Phone: (607) 746-0550

    Type: Location

  • 1 ATWELL RD

    COOPERSTOWN, NY 133261301

    Phone: (607) 547-3480

    Fax: (607) 547-5196

    Type: Mailing

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: 2019-11-22

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
I20191122001573INurse PractitionerNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes193117$0
99215Established patient office or other outpatient visit, 40-54 minutes183144$0
99213Established patient office or other outpatient visit, 20-29 minutes14391$0
View full utilization report →

Insurance plans in this area (ZIP 13856)

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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: 3779488325View full group profile

Reviews

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Frequently asked questions

How do payers reference STEPHANIE SHELLMAN (FNP)?
For STEPHANIE SHELLMAN (FNP), use NPI 1720630643 as the unique 10-digit identifier.
Would STEPHANIE SHELLMAN (FNP) appear as active to a payer?
You can treat STEPHANIE SHELLMAN (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for STEPHANIE SHELLMAN (FNP)?
At a glance, STEPHANIE SHELLMAN (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE SHELLMAN (FNP)?
Directory geography for STEPHANIE SHELLMAN (FNP) centers on Walton, New York.
Can I trust this NPI listing for STEPHANIE SHELLMAN (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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