Shelly A Tellman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4737 Issued in AZ

Practice address

13000 N 103Rd Ave Ste 77
Sun City, AZ 85351-3057

Phone

(480) 284-5650

Fax

(480) 284-6431

NPI assigned

Nov 27, 2012

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

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.

• Grand West Family Practice and Wellness LLC

  • Family Medicine Physician
  • Sun City, AZ
  • NPI 1740055599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1427393776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 77",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513057",
            "telephone_number": "480-284-5650",
            "fax_number": "480-284-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 77",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513057",
            "telephone_number": "480-284-5650",
            "fax_number": "480-284-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLMAN",
        "first_name": "SHELLY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2024-02-06",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nanao Takaki, N.M.D.
• Usha Tatini, M.D.
• Taghi Tavassoli, MD
• Team O'Neill Inc
• Carolyn Wendy Tellez, PMH-NP
• Kevin Robert Tench, M.D.
• Pavan Kumar Tenneti Venkata, MD
• Jamie Marie Terran, DPT
• Elizabeth Terry, LPC
• Arpana G Tewari, MD

• Family Nurse Practitioner in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.

Verify at the official NPI Registry.