MRS. SHELBY HARRY (FNP) – Family Nurse Practitioner, NPI 1881331783

MRS. SHELBY HARRY (FNP) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1078219 (TX). The NPI Number for MRS. SHELBY HARRY (FNP) is 1881331783

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELBY HARRY (FNP)
NPI
1881331783
Phone
(903) 606-7277
Address
612 S Fleishel Ave
Enumeration Date
13 May 2022
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037635402
Graduation Year
2021 (5 years ago)
PAC ID
0840673737
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20220810000022
Address ID
TX757832539QU502XXSTXX401

Contacts

FHIR Endpoint
MyChart
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. SHELBY HARRY (FNP)

  • 612 S Fleishel Ave

    Tyler, TX 757012012

    Phone: (903) 606-7277

    Type: Location

  • 719 W Coke Rd Ste 3

    Winnsboro, TX 754943060

    Phone: (903) 342-5227

    Type: Location

  • 8591 S Broadway Ave

    Tyler, TX 757035470

    Phone: (903) 606-5777

    Type: Location

  • 115 Airport Rd

    Sulphur Springs, TX 754822105

    Phone: (903) 438-4670

    Type: Location

  • 502 E GOODE ST STE 1E

    QUITMAN, TX 757832539

    Phone: (903) 763-5402

    Type: Mailing

  • 502 E GOODE ST # 1E

    QUITMAN, TX 757832539

    Phone: (903) 763-5402

    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: 2022-08-10

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
I20220810000022INurse 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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4339$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2928$0
81001Manual urinalysis test with examination using microscope, automated2724$0
81003Automated urinalysis test1111$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SHELBY HARRY (FNP)?
NPI 1881331783 is assigned to MRS. SHELBY HARRY (FNP) under the national enumeration system.
Is MRS. SHELBY HARRY (FNP) active in the national directory?
MRS. SHELBY HARRY (FNP)'s public NPI profile is in an active state.
Does MRS. SHELBY HARRY (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. SHELBY HARRY (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. SHELBY HARRY (FNP)?
The page summarizes Tyler, Texas for MRS. SHELBY HARRY (FNP); expand the address list for detail.
Is MRS. SHELBY HARRY (FNP) a real provider?
This page reflects official NPPES data for NPI 1881331783. Always confirm identity and privileges with the practice and licensing boards.

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