ROBERT L SHELLY (DC) – Chiropractor, NPI 1700950102

ROBERT L SHELLY (DC) is a healthcare provider. based in Oak harbor, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 0252 02 00002035 (WA). The NPI Number for ROBERT L SHELLY (DC) is 1700950102

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT L SHELLY (DC)
NPI
1700950102
Phone
(360) 675-4954
Address
551 S E MAYLOR ST
Enumeration Date
17 November 2006
Last Update Date
29 July 2008

Doctor Profile

Medical School Name
SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Secondary Phone
3606754954
Graduation Year
1985 (41 years ago)
PAC ID
7719172675
Group Practice PAC ID
7315835816
Professional Enrollment ID
I20101117000859
Address ID
WA982775000OA551XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for ROBERT L SHELLY (DC)

  • 551 S E MAYLOR ST

    OAK HARBOR, WA 982775000

    Phone: (360) 675-4954

    Fax: (360) 675-4968

    Mailing address matches the actual address.

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: 2010-11-17

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
I20101117000859IChiropracticWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98277)

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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: 7315835816View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
-WA

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Frequently asked questions

What identifier follows ROBERT L SHELLY (DC) across health systems?
The NPI 1700950102 uniquely identifies ROBERT L SHELLY (DC) in U.S. healthcare data.
Does the public listing show ROBERT L SHELLY (DC) as active?
ROBERT L SHELLY (DC)'s NPI record reflects an active status in NPPES.
Which specialty label fits ROBERT L SHELLY (DC)?
NPPES ties ROBERT L SHELLY (DC) to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ROBERT L SHELLY (DC)?
The directory associates ROBERT L SHELLY (DC) with Oak Harbor, Washington. Check all listed addresses for suites or satellite offices.
Who maintains ROBERT L SHELLY (DC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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