Individual provider Active NPI

Shelley Jane McClure, DNP, APRN-CNP, FNP-C

  • Endocrinology, Diabetes & Metabolism Physician
  • Norman, OK
National Provider Identifier
1184392649
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
200276 Issued in OK
Practice address
2260 36TH Ave NW Ste 110
Norman, OK 73072-3280
Phone
(405) 407-2167
Fax
(405) 407-2168
NPI assigned
Aug 31, 2021
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200276 OK
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 200276 OK Primary

Addresses

Primary practice location

2260 36TH Ave NW Ste 110
Norman, OK 73072-3280

Mailing address

2260 36TH Ave NW Ste 110
Norman, OK 73072-3280
Phone (405) 407-2167

Other identifiers 1

IdentifierTypeStateIssuer
.Other.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20211008000811 OK Practitioner - Nurse Practitioner 8123426921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2260 36TH Ave NW
Suite 110
Norman, OK 73072-3280
Phone (405) 407-2167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200276OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Health Family Medicine PLLC Family CurrentSince Jul 1, 2022 Accepting new patients
The Physicians Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Endocrinology Health and Wellness Endocrinology, Diabetes & Metabolism CurrentSince Mar 15, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2260 36th Ave NW
Ste 110
Norman, OK 73072
Phone (405) 407-2167

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

12401 N May Ave
Ste 102
Oklahoma City, OK 73120
Phone (405) 631-0483

6922 S Western Ave
Oklahoma City, OK 73139
Phone (405) 631-0483

9800 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 715-4496

8908 S Yale Ave
Ste 100
Tulsa, OK 74137

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1184392649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 36TH AVE NW STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723280",
            "telephone_number": "405-407-2167",
            "fax_number": "405-107-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 36TH AVE NW STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723280",
            "telephone_number": "405-407-2167",
            "fax_number": "405-407-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SHELLEY",
        "middle_name": "JANE",
        "credential": "DNP, APRN-CNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200276",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "200276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ".",
            "identifier": ".",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.