SHELBY LYNN WILLINGHAM (PA-C) – Physician Assistant, NPI 1912606674

SHELBY LYNN WILLINGHAM (PA-C) is a healthcare provider. based in Bandera, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA16618 (TX). The NPI Number for SHELBY LYNN WILLINGHAM (PA-C) is 1912606674

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY LYNN WILLINGHAM (PA-C)
NPI
1912606674
Phone
(830) 796-7713
Address
PO BOX 565
Enumeration Date
1 March 2023
Last Update Date
8 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8308165700
Graduation Year
2022 (4 years ago)
PAC ID
4486028032
Group Practice PAC ID
5294714580
Professional Enrollment ID
I20230321002854
Address ID
TX780061830BO120XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SHELBY LYNN WILLINGHAM (PA-C)

  • PO BOX 565

    BANDERA, TX 780030565

    Phone: (830) 796-7713

    Fax: (830) 796-7744

    Type: Mailing

  • 1050 TX-16, BANDERA, TX 78003

    1050 TX-16

    BANDERA, TX 78003

    Phone: (210) 695-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $3,301.

Total Amount is formed as General ($3,301) + Research ($0) + Ownership ($0) = $3,301.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Amgen Inc. ($498).

Total Amount

$3,301

General + Research + Ownership

Payments

107

Total payment records

General Amount

$3,301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2023-03-21

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
I20230321002854IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes186137$0
99214Established patient office or other outpatient visit, 30-39 minutes5038$0
81002Urinalysis, manual test2523$0
96372Injection of drug or substance under skin or into muscle1211$0
View full utilization report →

Insurance plans in this area (ZIP 78003)

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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: 5294714580View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Physician AssistantTX
Internal MedicineTX
Physician AssistantTX
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check SHELBY LYNN WILLINGHAM (PA-C) using NPI 1912606674?
NPI 1912606674 belongs to SHELBY LYNN WILLINGHAM (PA-C); compare other details if you need extra assurance.
Is SHELBY LYNN WILLINGHAM (PA-C) still an active registrant?
SHELBY LYNN WILLINGHAM (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to SHELBY LYNN WILLINGHAM (PA-C)?
SHELBY LYNN WILLINGHAM (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SHELBY LYNN WILLINGHAM (PA-C) associated with Bandera?
Public fields place SHELBY LYNN WILLINGHAM (PA-C) around Bandera, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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