SHIRLEY R SHELLEY (CD) – Registered Dietitian, NPI 1659337632

SHIRLEY R SHELLEY (CD) is a healthcare provider. based in Madison, Wisconsin. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials CD. They hold a License No. 252-029 (WI). The NPI Number for SHIRLEY R SHELLEY (CD) is 1659337632

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY R SHELLEY (CD)
NPI
1659337632
Phone
(608) 260-6000
Address
1821 S Stoughton Rd
Enumeration Date
26 April 2006
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158385222
Graduation Year
1987 (39 years ago)
PAC ID
5092729822
Group Practice PAC ID
4385553627
Professional Enrollment ID
I20060201000417
Address ID
WI547016101EA733XXAVEX400

Contacts

Secure Messaging
sshelley24021@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

207 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in WI

Provider Addresses for SHIRLEY R SHELLEY (CD)

  • 1821 S Stoughton Rd

    Dean Medical Center

    Madison, WI 537162257

    Phone: (608) 260-6000

    Fax: (608) 260-6939

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050002

    Phone: (715) 838-5222

    Type: Mailing

  • Dean Clinic - Madison East, 1821, South Stoughton Road, Madison, Dane County, Wisconsin, 53716, United States

    DEAN MEDICAL CENTER

    MADISON, WI 537162257

    Phone: (608) 260-6000

    Fax: (608) 260-6939

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 838-5222

    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: 2006-02-01

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
I20060201000417IRegistered Dietitian Or Nutrition ProfessionalWITBD

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 53716)

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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: 4385553627View full group profile

Reviews

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Frequently asked questions

What is SHIRLEY R SHELLEY (CD)'s NPI number?
SHIRLEY R SHELLEY (CD)'s NPI is 1659337632 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SHIRLEY R SHELLEY (CD)?
For scheduling context, SHIRLEY R SHELLEY (CD) is shown as active in the registry.
What area of care is associated with SHIRLEY R SHELLEY (CD)?
SHIRLEY R SHELLEY (CD)'s record emphasizes Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is SHIRLEY R SHELLEY (CD) registered?
Use Madison, Wisconsin as the headline location for SHIRLEY R SHELLEY (CD) here.
When was this NPI issued?
Enumeration for SHIRLEY R SHELLEY (CD) is noted as April 26, 2006 where the registry provides it.

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