SHELLY BAILEY NPI 1174183693

NPI Information

  • NPI: 1174183693
  • Provider Name: SHELLY BAILEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1720 S BECKHAM AVE STE 104
    TYLER, TX
    ZIP 75701
  • Phone: (903) 597-2002

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NPI Details

Shelly Bailey is a family nurse practitioner in Tyler, TX with 7 years of experience. Shelly Bailey NPI is 1174183693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1720 S BECKHAM AVE STE 104
TYLER, TX
ZIP 75701-437
Phone: (903) 597-2002

The NPI 1174183693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Wet mounts, including preparations of vaginal, cervical or skin specimens (HCPCS:Q0111)
  • All potassium hydroxide (koh) preparations (HCPCS:Q0112)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Smear for infectious agents (HCPCS:87210)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 6/17/2019 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAP140105TEXASNo
2363LF0000XNurse PractitionerFamilyAP140105TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1842904OTHERTEXASMEDICARE
2402031501MEDICAIDTEXAS
38LH987OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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