Christian Shelton

Individual provider Active NPI Case Manager/Care Coordinator · Cuba, MO

NPI 1063396174 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1063396174
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
81 Pilkenton LN
Cuba, MO 65453-8136
Phone
(573) 885-6443
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrium Ranch Case Manager/Care Coordinator Current
since Aug 3, 2025
Accepting new patients
Rock Springs Residential, LLC Past
since Aug 3, 2025
Accepting new patients

Locations

81 Pilkenton Ln
Cuba, MO 65453
Phone (573) 885-6443

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

81 Pilkenton LN
Cuba, MO 65453-8136

Mailing address

208 Willow Park CT
Wentzville, MO 63385-2935
Phone (573) 885-6443

Other providers in Cuba, MO

All providers in Cuba, MO · Case Manager/Care Coordinator in Missouri

Sources for this page

Verify at the official NPI Registry.