SHELLY SKARIAH – Primary Care Nurse Practitioner, NPI 1972157915

SHELLY SKARIAH is a healthcare provider. based in Carrollton, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP142218 (TX). The NPI Number for SHELLY SKARIAH is 1972157915

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY SKARIAH
NPI
1972157915
Phone
(469) 583-4797
Address
3125 RIVERSIDE DR
Enumeration Date
29 July 2019
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173100421
Graduation Year
2019 (7 years ago)
PAC ID
8325377591
Group Practice PAC ID
9830084540
Professional Enrollment ID
I20190913000062
Address ID
TX762483613KE1110XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for SHELLY SKARIAH

  • 3125, Riverside Drive, Carrollton, Denton County, Texas, 75007, United States

    CARROLLTON, TX 750073732

    Phone: (469) 583-4797

    Type: Mailing

  • 1001, West Southlake Boulevard, Southlake, Tarrant County, Texas, 76092, United States

    SOUTHLAKE, TX 760926010

    Phone: (817) 865-1048

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $728.

Total Amount is formed as General ($728) + Research ($0) + Ownership ($0) = $728.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$728

General + Research + Ownership

Payments

30

Total payment records

General Amount

$728

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

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: 2019-09-13

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
I20190913000062INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes167116$0
96372Injection of drug or substance under skin or into muscle6032$0
99213Established patient office or other outpatient visit, 20-29 minutes4441$0
G0442Annual alcohol misuse screening, 5 to 15 minutes3636$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
View full utilization report →

Insurance plans in this area (ZIP 75007)

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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: 9830084540View full group profile

Reviews

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Frequently asked questions

How is SHELLY SKARIAH identified in CMS data?
CMS-hosted NPPES data lists SHELLY SKARIAH with NPI 1972157915.
Can I rely on SHELLY SKARIAH being an active provider?
As of the registry snapshot, SHELLY SKARIAH is marked active.
What is SHELLY SKARIAH's primary classification?
Primary Care Nurse Practitioner is the headline specialty for SHELLY SKARIAH here. Clinical services aligned with this taxonomy classification.
Where is SHELLY SKARIAH based?
SHELLY SKARIAH is tied to Carrollton, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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