DR. J TERESA SHELBY (MD) – Psychiatry Physician, NPI 1821128927

DR. J TERESA SHELBY (MD) is a healthcare provider. based in Beaverton, Oregon. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD12000 (OR). The NPI Number for DR. J TERESA SHELBY (MD) is 1821128927

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. J TERESA SHELBY (MD)
NPI
1821128927
Phone
(503) 641-5596
Address
12250 SW 2ND ST
Enumeration Date
7 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5036405297
Graduation Year
1978 (48 years ago)
PAC ID
7012157464
Group Practice PAC ID
1850282575
Professional Enrollment ID
I20130708000222
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. J TERESA SHELBY (MD)

  • 12250 SW 2ND ST

    BEAVERTON, OR 970052828

    Phone: (503) 641-5596

    Fax: (503) 520-9114

    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: 2013-07-08

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
I20130708000222IPsychiatryORTBD

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 97005)

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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: 1850282575View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
Mental Health CounselorOR
Mental Health CounselorOR
-OR
Nurse PractitionerOR
Clinical Social WorkerNY
Occupational Therapist In Private PracticeOR
Clinical Social WorkerOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Is there an official ID for DR. J TERESA SHELBY (MD) in U.S. healthcare records?
The official identifier for DR. J TERESA SHELBY (MD) is NPI 1821128927.
Would DR. J TERESA SHELBY (MD) appear as active to a payer?
You can treat DR. J TERESA SHELBY (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. J TERESA SHELBY (MD)?
DR. J TERESA SHELBY (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. J TERESA SHELBY (MD) located near Beaverton?
DR. J TERESA SHELBY (MD) currently maps to Beaverton, Oregon in this extract.
When was this NPI issued?
Enumeration for DR. J TERESA SHELBY (MD) is noted as March 7, 2007 where the registry provides it.

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