SHELBY GLYNN STOCKTON – Medical Physician Assistant, NPI 1043957582

SHELBY GLYNN STOCKTON is a healthcare provider. based in Spartansburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA063933 (PA). The NPI Number for SHELBY GLYNN STOCKTON is 1043957582

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY GLYNN STOCKTON
NPI
1043957582
Phone
(412) 584-0730
Address
22521 SPORTSMAN RD
Enumeration Date
17 May 2022
Last Update Date
20 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9335513399
Group Practice PAC ID
0042464026
Professional Enrollment ID
I20230315000863
Address ID
PA150631013MO1163XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for SHELBY GLYNN STOCKTON

  • 22521 SPORTSMAN RD

    SPARTANSBURG, PA 164343343

    Phone: (412) 584-0730

    Type: Mailing

  • 800 PLAZA DR STE 140

    ROSTRAVER TOWNSHIP, PA 150124019

    Phone: (724) 929-4122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($51).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2023-03-15

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
I20230315000863IPhysician AssistantPATBD

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 16434)

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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: 0042464026View full group profile
NameSpecialtyState
General SurgeryGA
General SurgeryPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
Nurse PractitionerPA
Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicinePA
Nurse PractitionerPA
Pulmonary DiseasePA
E N D O C R I N O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do payers reference SHELBY GLYNN STOCKTON?
For SHELBY GLYNN STOCKTON, use NPI 1043957582 as the unique 10-digit identifier.
Active or inactive — what applies to SHELBY GLYNN STOCKTON?
You should see SHELBY GLYNN STOCKTON as active in CMS-hosted NPPES data.
How would a patient describe SHELBY GLYNN STOCKTON's focus?
For SHELBY GLYNN STOCKTON, the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHELBY GLYNN STOCKTON?
Travel planning: use Spartansburg, Pennsylvania as the reference point for SHELBY GLYNN STOCKTON, then confirm.
When was this NPI issued?
Enumeration for SHELBY GLYNN STOCKTON is noted as May 17, 2022 where the registry provides it.

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