Individual provider Active NPI

Theresa Marie Shelton, NNP-BC

  • Neonatal Nurse Practitioner
  • Billings, MT
National Provider Identifier
1013689488
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
NUR-APRN-LIC-177258 Issued in MT
Practice address
7417 Monad Rd
Billings, MT 59106-2610
Phone
(406) 861-0783
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X NUR-APRN-LIC-177258 MT Primary

Addresses

Primary practice location

7417 Monad Rd
Billings, MT 59106-2610

Mailing address

7417 Monad Rd
Billings, MT 59106-2610
Phone (406) 861-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607000647 MT Practitioner - Nurse Practitioner 5193103943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-177258MTMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jun 1, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jun 1, 2022 Accepting new patients
SCL Health Montana Past Accepting new patients

Locations

2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1013689488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 MONAD RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062610",
            "telephone_number": "406-861-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 MONAD RD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062610",
            "telephone_number": "406-861-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MT",
            "license": "NUR-APRN-LIC-177258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.