Individual provider Active NPI

Shelby Adney, NP-C

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1316646847
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024386 Issued in CA
Practice address
8110 Timberlake Way
Sacramento, CA 95823-5401
Phone
(916) 689-4111
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 95024386 CA Primary

Addresses

Primary practice location

8110 Timberlake Way
Sacramento, CA 95823-5401

Mailing address

8110 Timberlake Way
Sacramento, CA 95823-5401
Phone (916) 689-4111

Other identifiers 1

IdentifierTypeStateIssuer
95024386OtherCABOARD OF REGISTERED NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231117000693 CA Practitioner - Nurse Practitioner 5991152654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 University Ave
Suite 250
Sacramento, CA 95825-6525
Phone (916) 235-9100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Northern California, a Podiatry Corporation CurrentSince May 6, 2024 Accepting new patients
Associated Family Physicians Inc CurrentSince Sep 3, 2023 Accepting new patients

Locations

6450 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 680-9510

635 Anderson Rd
Ste 4
Davis, CA 95616
Phone (530) 758-1810

500 University Ave
Ste 250
Sacramento, CA 95825
Phone (916) 235-9100

8110 Timberlake Way
Sacramento, CA 95823
Phone (916) 250-0377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFCCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1316646847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 TIMBERLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235401",
            "telephone_number": "916-689-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 TIMBERLAKE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235401",
            "telephone_number": "916-689-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADNEY",
        "first_name": "SHELBY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95024386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.