LAURA SHELLMAN (PMHNP-BC, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891040812

LAURA SHELLMAN (PMHNP-BC, FNP-C) is a healthcare provider. based in Longview, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, FNP-C. They hold a License No. 68788 (MT). The NPI Number for LAURA SHELLMAN (PMHNP-BC, FNP-C) is 1891040812

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURA SHELLMAN (PMHNP-BC, FNP-C)
NPI
1891040812
Phone
(360) 200-5419
Address
748 14TH AVENUE
Enumeration Date
16 July 2012
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602005419
Graduation Year
2012 (14 years ago)
PAC ID
9234387796
Group Practice PAC ID
0941631469
Professional Enrollment ID
I20201002002940
Address ID
WA986322315LO748XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for LAURA SHELLMAN (PMHNP-BC, FNP-C)

  • 748 14TH AVENUE

    LONGVIEW, WA 98632

    Phone: (360) 200-5419

    Fax: (360) 200-6736

    Type: Location

  • PO BOX 2394

    LONGVIEW, WA 98632

    Phone: (360) 200-5419

    Fax: (360) 200-6736

    Type: Mailing

  • 910 16TH AVE STE 120

    LONGVIEW, WA 986322374

    Phone: (360) 200-5419

    Fax: (360) 200-6736

    Type: Location

  • 1408 12th Ave

    Longview, WA 986323822

    Phone: (360) 998-3050

    Fax: (360) 200-6736

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

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: 2020-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140422002359INurse PractitionerMTTBD
I20201002002940INurse PractitionerWATBD

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 98632)

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Provider's Procedures

LAURA SHELLMAN (PMHNP-BC, FNP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMT83036Hemoglobin A1C level2322

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: 0941631469View full group profile
NameSpecialtyState
Nurse PractitionerWA
Mental Health CounselorWA
Clinical Social WorkerWA
Mental Health CounselorWA
Clinical Social WorkerWA
Nurse PractitionerWA
Clinical Social WorkerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What number should I use to identify LAURA SHELLMAN (PMHNP-BC, FNP-C) for billing?
Administrative and clinical systems typically use NPI 1891040812 for LAURA SHELLMAN (PMHNP-BC, FNP-C).
Is LAURA SHELLMAN (PMHNP-BC, FNP-C)'s NPI status active today?
Active status means LAURA SHELLMAN (PMHNP-BC, FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret LAURA SHELLMAN (PMHNP-BC, FNP-C)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for LAURA SHELLMAN (PMHNP-BC, FNP-C). Clinical services aligned with this taxonomy classification.
What city is tied to LAURA SHELLMAN (PMHNP-BC, FNP-C)?
The directory associates LAURA SHELLMAN (PMHNP-BC, FNP-C) with Longview, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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