Active NPI
Shelly Lynn Abernathy, D.C.
- Chiropractor
- Fayette, IA
National Provider Identifier
1154435725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A5682
- Practice address
- 607 W Clark St
Fayette, IA 52142-9703 - Phone
- (563) 518-1042
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A5682 | IA | Primary |
Addresses
Primary practice location
607 W Clark St
Fayette, IA 52142-9703
Mailing address
607 W Clark St
Fayette, IA 52142-9703
Phone (563) 518-1042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104638 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824001453 | IA | Practitioner - Chiropractic | 5698749646 | Practice locations: Fayette, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
607 W Clark St
Fayette, IA 52142-9703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5682 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1154435725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 W CLARK ST",
"city": "FAYETTE",
"state": "IA",
"postal_code": "521429703",
"telephone_number": "563-518-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 W CLARK ST",
"city": "FAYETTE",
"state": "IA",
"postal_code": "521429703",
"telephone_number": "563-518-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERNATHY",
"first_name": "SHELLY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A5682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104638",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayette, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.