Terrance Shelton, CRNP
Individual provider Active NPI Nurse Practitioner · Butler, PA
NPI 1124656178 · NPPES record last updated Mar 27, 2020
Key facts
- NPI
- 1124656178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP020662 (PA)
- Practice address
- 250B Butler CMNS
Butler, PA 16001-2485 - Phone
- (877) 987-4368
- Fax
- (724) 431-4307
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200515000550 | PA | Practitioner - Nurse Practitioner | 3577994185 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020662 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Physician Practice | Current |
Accepting new patients | |
| BHS Faster Care PLLC | Current |
Accepting new patients |
Locations
250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368
112 Marwood Rd
Ste 5000
Cabot, PA 16023
Phone (724) 352-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP020662 | PA | Yes |
Addresses
Primary practice location
250B Butler CMNS
Butler, PA 16001-2485
Mailing address
250B Butler CMNS
Butler, PA 16001-2485
Phone (877) 987-4368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP020662 | Other | PA | LICENSE |
Other providers in Butler, PA
- Jill Shanor
- Louis Shapiro
- Denise Lynn Shearer
- Hugh Shearer
- Christine L Sheffey
- Thomas G Shetter
- Bonnie Lynne Shevock
- Bradley Shields
- Shreeva RX LLC
- Shreeva RX LLC
All providers in Butler, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.