Shelby Elizabeth Menezes, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011947 Issued in VA

Practice address

4501 Empire CT
Fredericksburg, VA 22408-1949

Phone

(540) 371-0079

Fax

(540) 656-2653

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Elizabeth Green Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jorge Acosta, MD, Facs, PAGroup PAC ID 5991131989, 2 clinicians

El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelby.menezes.1@23528.direct.athenahealth.com

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.

• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1316936990
  Medicare reassignment Care Compare group NPD
• Jorge Acosta, MD, Facs, PA

  • Surgery Physician
  • El Paso, TX
  • NPI 1417594607
  Medicare reassignment Care Compare group
• Emergency Associates of Central Texas PA

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1215418280
  Medicare reassignment
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1316936990
  Care Compare affiliation
• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1619747938
  Care Compare affiliation
• El Paso County Hospital District

  • Clinical Medical Laboratory
  • El Paso, TX
  • NPI 1932434925

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1073026688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 34th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051916",
            "country_code": "US",
            "telephone_number": "512-454-4588",
            "fax_number": "512-459-9869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651048",
            "country_code": "US",
            "telephone_number": "512-310-8789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Empire Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224081949",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Woodstream Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564630",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "GREEN",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Memory Lane Home Health LLC
• Sudeep Joseph Menachery, MD
• Carlos Javier Mencias Vera, M.D.
• Kristen Mendoza, OTR/L
• Kelly J Menefee, MT
• Samuel Mengesha
• Hiwot Abebe Mengiste, MD
• Cynthia Becker Menke, CCC-SLP
• Massan Mensah
• Ophelia Mensah, NP

• Physician Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.