ELISE SHELLENBERGER (NP) – Family Nurse Practitioner, NPI 1417307414

ELISE SHELLENBERGER (NP) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP131109 (TX). The NPI Number for ELISE SHELLENBERGER (NP) is 1417307414

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELISE SHELLENBERGER (NP)
NPI
1417307414
Phone
(409) 813-1677
Address
3480 College St
Enumeration Date
21 June 2016
Last Update Date
24 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092994448
Graduation Year
2016 (10 years ago)
PAC ID
7416249933
Group Practice PAC ID
8729494927
Professional Enrollment ID
I20160701000936
Address ID
TX777066861BE4310XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ELISE SHELLENBERGER (NP)

  • 3480 College St

    Beaumont, TX 777014612

    Phone: (409) 813-1677

    Fax: (409) 730-1399

    Type: Location

  • 7750, Deerchase Drive, Beaumont, Jefferson County, Texas, 77713, United States

    BEAUMONT, TX 777138819

    Phone: (409) 656-8448

    Type: Mailing

  • 114, South LHS Drive, Lumberton, Hardin County, Texas, 77657, United States

    LUMBERTON, TX 77657

    Phone: (409) 227-0053

    Type: Location

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: 2016-07-01

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
I20160701000936INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5715$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
96372Injection of drug or substance under skin or into muscle1916$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 77701)

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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: 8729494927View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerTX
Sleep Medicine, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find ELISE SHELLENBERGER (NP)'s NPI?
You can confirm ELISE SHELLENBERGER (NP) with NPI 1417307414; it appears in the national provider directory.
Is ELISE SHELLENBERGER (NP) currently active in the NPI registry?
CMS-published data lists ELISE SHELLENBERGER (NP) as an active registrant.
What field does ELISE SHELLENBERGER (NP) work in?
You can think of ELISE SHELLENBERGER (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ELISE SHELLENBERGER (NP)'s primary listing?
We display Beaumont, Texas because that is what the record indicates for ELISE SHELLENBERGER (NP).
How can I contact ELISE SHELLENBERGER (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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