Individual provider Active NPI

Terrance Shelton, CRNP

  • Nurse Practitioner
  • Butler, PA
National Provider Identifier
1124656178
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020662 Issued in PA
Practice address
250B Butler CMNS
Butler, PA 16001-2485
Phone
(877) 987-4368
Fax
(724) 431-4307
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020662 PA Primary

Addresses

Primary practice location

250B Butler CMNS
Butler, PA 16001-2485

Mailing address

250B Butler CMNS
Butler, PA 16001-2485
Phone (877) 987-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20200515000550 PA Practitioner - Nurse Practitioner 3577994185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Faster Care PLLC CurrentSince Apr 27, 2020 Accepting new patients
Concordia Physician Practice CurrentSince Aug 30, 2021 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

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

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1124656178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250B BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012485",
            "telephone_number": "877-987-4368",
            "fax_number": "724-431-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250B BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012485",
            "telephone_number": "877-987-4368",
            "fax_number": "724-431-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TERRANCE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.