Shelby Hatridge, FNP-C – Family Nurse Practitioner

Key facts

NPI: 1215770524
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 218370 (OK)
Practice address: 213 N Broadway St
Checotah, OK 74426-2431
Phone: (918) 410-0200
NPI assigned: Jun 14, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Aspire Health Management, LLC General Practice Physician · Checotah, OK · NPI 1053984518

Medicare reassignment Care Compare group NPD OK

Hospital & facility affiliations 1

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

Saint Francis Hospital Muskogee Inc General Acute Care Hospital · Muskogee, OK · NPI 1386188837

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aspire Health Management LLC (12 clinicians)

Practice addresses (Care Compare)

213 N Broadway St
Checotah, OK 74426-2431
Phone (918) 401-0200

Hospital & facility affiliations

Saint Francis Hospital Muskogee Hospital · Muskogee, OK · CCN 370025

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK
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
I20241011001195	OK	Practitioner - Nurse Practitioner	2668911082	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
218370	OK	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Aspire Health Management, LLC		Current since Jul 5, 2024	Accepting new patients

Locations

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	218370	OK	Yes

Addresses

Primary practice location

213 N Broadway St
Checotah, OK 74426-2431

Mailing address

213 N Broadway St
Checotah, OK 74426-2431
Phone (918) 410-0200

Other providers in Checotah, OK

All providers in Checotah, OK · Family Nurse Practitioner in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.