THERAPY SERVICES WITH SHELLEY, PLLC – Community/Behavioral Health Agency, NPI 1659806495
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THERAPY SERVICES WITH SHELLEY, PLLC
15th Street North, Moorhead, Clay County, Minnesota, 56563, United States
MOORHEAD, MN 565607204
Phone:
Type: Mailing
820 4TH ST S
MOORHEAD, MN 565603322
Phone:
Type: Mailing
Center Avenue, Moorhead, Clay County, Minnesota, 56562, United States
MOORHEAD, MN 565601962
Phone: (218) 329-6294
Fax: (866) 816-9567
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: 2019-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (71 days ago).
Enrollment records
2
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191025001971 | O | Clinic/Group Practice | ND | 2026-03-31 |
| O20191112001400 | O | Clinic/Group Practice | MN | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 56560)
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