SHELBY JAE WALKER (PA-C) – Medical Physician Assistant, NPI 1053976571
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for SHELBY JAE WALKER (PA-C)
1601 MEDICAL DR
POTTSTOWN, PA 194643241
Phone: (610) 327-4200
Fax: (610) 327-8160
Type: Mailing
1555 MEDICAL DR
POTTSTOWN, PA 194643224
Phone: (610) 326-7820
Fax: (610) 326-4068
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $223.
Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.
Last reported payment date: 2024-03-02 • Largest payer in this snapshot: ABBVIE INC. ($50).
Total Amount
$223
General + Research + Ownership
Payments
12
Total payment records
General Amount
$223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $50 |
| PFIZER INC. | $38 |
| Lilly USA, LLC | $33 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19 |
| Amgen Inc. | $19 |
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: 2019-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190724000156 | I | Physician Assistant | PA | TBD |
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.
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 19464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| - | PA | |
| Family Practice | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| Rheumatology, Internal Medicine | NJ | |
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | PA |
Reviews
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