TREVOR LEE SHELTON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417785841

TREVOR LEE SHELTON (NP) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 453039 (OH). The NPI Number for TREVOR LEE SHELTON (NP) is 1417785841

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR LEE SHELTON (NP)
NPI
1417785841
Phone
(937) 734-8333
Address
601 S Edwin C Moses Blvd
Enumeration Date
25 July 2024
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378134485
Graduation Year
2024 (2 years ago)
PAC ID
5991246050
Group Practice PAC ID
1759798366
Professional Enrollment ID
I20240917003632
Address ID
OH454581632DA8940XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TREVOR LEE SHELTON (NP)

  • 601 S Edwin C Moses Blvd

    Dayton, OH 454173424

    Phone: (937) 734-8333

    Fax: (937) 734-8339

    Type: Location

  • 401 Atrium Dr

    Middletown, OH 450055169

    Phone: (513) 974-6049

    Type: Location

  • 8940 KINGSRIDGE DR STE 106

    DAYTON, OH 454581632

    Phone: (937) 813-4485

    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 $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($102).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-09-17

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
I20240917003632INurse PractitionerOHTBD

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 45417)

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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: 1759798366View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What is the standard ID for TREVOR LEE SHELTON (NP) in the U.S.?
In the U.S., TREVOR LEE SHELTON (NP) is identified by NPI 1417785841.
Does the public listing show TREVOR LEE SHELTON (NP) as active?
TREVOR LEE SHELTON (NP)'s NPI record reflects an active status in NPPES.
How should patients interpret TREVOR LEE SHELTON (NP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for TREVOR LEE SHELTON (NP). Clinical services aligned with this taxonomy classification.
Can patients visit TREVOR LEE SHELTON (NP) in Dayton, Ohio?
For routing, start with Dayton, Ohio for TREVOR LEE SHELTON (NP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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