Shelby Lynn Hogan, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG-0011790 Issued in DE

Practice address

16392 Coastal Hwy
Lewes, DE 19958-3611

Phone

(302) 703-9743

NPI assigned

Oct 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shelby Holmes Hogan Professional name

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19398/brand/1/csg/1/fhir/r4

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.

• Cardiovascular Interventional Associates LLC

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1518381375

  DE

  Medicare reassignment NPD
• Coastal Care & Dermatology, LLC

  • Nurse Practitioner
  • Millsboro, DE
  • NPI 1053838896
  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1104589571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16892 OLE GRIST RUN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683401",
            "telephone_number": "770-530-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16392 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583611",
            "telephone_number": "302-703-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011790",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0011790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "HOGAN",
            "middle_name": "HOLMES",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathryn Ho, PA
• Debra Ann Hobbs, D.C.
• Taylor Hodges, NP
• Randolph Ellis Hoffpauir, LCSW
• Brandon Hogan, RN
• Katherine Hogue, DPT
• Sara Hohl, RN
• Elizabeth E Holland, RN CEN
• Jeannine Marie Holland, RN
• Kathy Holland

• All providers in Lewes, DE
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.