Individual provider Active NPI

Ashley Dawn Shelton, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1194385989
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120033 Issued in AR
Practice address
800 S Church St Ste 201
Jonesboro, AR 72401-4106
Phone
(870) 934-1462
Fax
(870) 934-1456
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120033 AR Primary

Addresses

Primary practice location

800 S Church St Ste 201
Jonesboro, AR 72401-4106

Mailing address

800 S Church St Ste 201
Jonesboro, AR 72401-4106
Phone (870) 934-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190722002774 AR Practitioner - Nurse Practitioner 3375879802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

800 S Church St
Jonesboro, AR 72401-4106

800 S Church St
Suite 204
Jonesboro, AR 72401-4176
Phone (870) 336-7410

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Feb 1, 2022 Accepting new patients
Jonesboro Neurosurgery Clinic, Inc Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

800 S Church St
Ste 201
Jonesboro, AR 72401
Phone (870) 934-1462

Interoperability endpoints

  • Direct secure messaging: ashelton@sbpc.medalliesdirect.net

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 and National Provider Directory roles.

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1194385989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 201",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014106",
            "telephone_number": "870-934-1462",
            "fax_number": "870-934-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 201",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014106",
            "telephone_number": "870-934-1462",
            "fax_number": "870-934-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.