SHELLY J MCINTOSH (FNP) – Family Nurse Practitioner, NPI 1003872623

SHELLY J MCINTOSH (FNP) is a healthcare provider. based in Johnson city, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. RN127044 (TN). The NPI Number for SHELLY J MCINTOSH (FNP) is 1003872623

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY J MCINTOSH (FNP)
NPI
1003872623
Phone
(423) 794-5520
Address
215 E SPRINGBROOK DR
Enumeration Date
22 April 2006
Last Update Date
2 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237945500
Graduation Year
2005 (21 years ago)
PAC ID
3072517069
Group Practice PAC ID
2466346291
Professional Enrollment ID
I20060906000077
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for SHELLY J MCINTOSH (FNP)

  • SoFHA Central Lab, 215, East Springbrook Drive, Hill-N-Dale, Johnson City, Washington County, Tennessee, 37601, United States

    JOHNSON CITY, TN 376011761

    Phone: (423) 794-5520

    Fax: (423) 282-6940

    Type: Mailing

  • Johnson City Pediatrics, 301, Med Tech Parkway, Johnson City, Washington County, Tennessee, 37604, United States

    SUITE 240

    JOHNSON CITY, TN 376042364

    Phone: (423) 794-5520

    Fax: (423) 282-0720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($274).

Total Amount

$927

General + Research + Ownership

Payments

14

Total payment records

General Amount

$927

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 37601)

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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: 2466346291View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SHELLY J MCINTOSH (FNP)?
NPI 1003872623 is assigned to SHELLY J MCINTOSH (FNP) under the national enumeration system.
Does this profile mean SHELLY J MCINTOSH (FNP) is currently active?
Yes — SHELLY J MCINTOSH (FNP) appears active in the national provider directory.
What field does SHELLY J MCINTOSH (FNP) work in?
You can think of SHELLY J MCINTOSH (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SHELLY J MCINTOSH (FNP)?
The snapshot lists Johnson City, Tennessee for SHELLY J MCINTOSH (FNP); download NPPES for the complete set.
What if Johnson City, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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