Shelby Lynn Clark, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG-0011790 Issued in DE

Practice address

33663 Bayview Medical Dr Unit 2
Lewes, DE 19958-1663

Phone

(302) 645-9325

Fax

(888) 987-4534

NPI assigned

Oct 21, 2021

Last updated

Oct 13, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiovascular Interventional Associates LLC

  • Cardiovascular Disease Physician
  • Lewes, DE
  • NPI 1518381375
  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": "1791849600000",
    "number": "1104589571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD STE 200",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33663 BAYVIEW MEDICAL DR UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581663",
            "telephone_number": "302-645-9325",
            "fax_number": "888-987-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32556 Doc's Place, Unit 12",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "19967",
            "country_code": "US",
            "telephone_number": "302-645-9325",
            "fax_number": "888-987-4534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19161 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714491",
            "country_code": "US",
            "telephone_number": "302-645-9325",
            "fax_number": "888-987-4534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-9325",
            "fax_number": "888-987-4534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18941 John J Williams Hwy",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714404",
            "country_code": "US",
            "telephone_number": "302-645-9325",
            "fax_number": "888-987-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-08",
        "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"
        }
    ]
}

• Yvonne Marie Cipressi, DPT
• Lisa Ward Cirillo, PT, CERT. MDT
• Clara M Higgins DO PA
• Sarah Elizabeth Clark, PA-C
• Scott Alan Clark, MD
• Melissa C Class, M.S. CCC-SLP
• Stephanie Clay
• Clear Minds
• Clearsolutions Dermatology Group
• Billy Kenneth Clem, RN

• Nurse Practitioner in Lewes, DE
• Providers in Lewes, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.