Active NPI
Shelby Kerr Barkley
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5018284
- Practice address
- 10515 Mallard Creek Rd
Charlotte, NC 28262-9785 - Phone
- (704) 547-9739
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5018284 | NC | Primary |
Addresses
Primary practice location
10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230810002936 | NC | Practitioner - Nurse Practitioner | 4789046590 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.46 of 100
- Quality
- 80.45
- Improvement activities
- 40
- Cost
- 87.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of North Carolina PC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care North Carolina PLLC | Family | Current | Accepting new patients |
Locations
10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715
10515 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 494-3466
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
Family, NC
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1356159818
Family, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1245938679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 MALLARD CREEK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282629785",
"telephone_number": "704-547-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "SHELBY",
"middle_name": "KERR",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5018284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.