Active NPI
Shelby Pauline McDonald, DNP, FNP-C
- Family Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24606
- Practice address
- 1385 W Brierbrook Rd
Germantown, TN 38138-2208 - Phone
- (901) 390-2930
- NPI assigned
- Aug 22, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902923 | MS | |
| Registered Nurse | 163W00000X | 188710 | TN | |
| Family Nurse Practitioner | 363LF0000X | 005925 | AR | |
| Family Nurse Practitioner | 363LF0000X | 24606 | TN | Primary |
Addresses
Primary practice location
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Mailing address
1375 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
Other practice location 1
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
Other practice location 2
306 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
Other practice location 3
1111 N Washington St
Forrest City, AR 72335-2150
Phone (901) 390-2930
Other practice location 4
1750 Madison Ave Ste 301
Memphis, TN 38104-6428
Phone (901) 390-2930
Other practice location 5
405 River Rd
Greenwood, MS 38930-4212
Phone (901) 390-2930
Other practice location 6
705 N State St
Clarksdale, MS 38614-6519
Phone (901) 390-2930
Other practice location 7
1750 Madison Ave Ste 302
Memphis, TN 38104-6428
Phone (901) 390-2930
Other practice location 8
176 Goodman Rd W
Southaven, MS 38671-9405
Phone (901) 390-2930
Other practice location 9
403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930
Other practice location 10
2704 W Oxford Loop Ste 110
Oxford, MS 38655-5728
Phone (901) 390-2930
Other practice location 11
8081 US Highway 51 N
Millington, TN 38053-1730
Phone (901) 390-2930
Other practice location 12
1355 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
Other practice location 13
6029 Walnut Grove Rd Ste 401
Memphis, TN 38120-2112
Phone (901) 747-3066
Other practice location 14
1300 Sunset Dr Ste P
Grenada, MS 38901-4084
Phone (901) 390-2930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 W Brierbrook Rd
Germantown, TN 38138-2208
1385 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 390-2930
176 Goodman Rd W
Southaven, MS 38671-9405
Phone (901) 390-2930
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188710 | TN | MD | Registered Nurse |
| 005925 | AR | MD | Family Nurse Practitioner |
| 902923 | MS | MD | Family Nurse Practitioner |
| 24606 | TN | MD | Family Nurse Practitioner |
Interoperability endpoints
- shelbymcdonald@vvis.allscriptsdirect.net
- smcdonald33419@mlh.direct-ci.com
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.
-
- Vascular Surgery Physician
- Germantown, TN
- NPI 1275016941
AR, MS
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1477034981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 W BRIERBROOK RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382208",
"telephone_number": "901-390-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 W BRIERBROOK RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382208",
"telephone_number": "901-390-2930"
}
],
"practiceLocations": [
{
"address_1": "312 S Rhodes St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723014215",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 S Rhodes St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723014215",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 N Washington St",
"address_purpose": "LOCATION",
"city": "Forrest City",
"state": "AR",
"postal_code": "723352150",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 Madison Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046428",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 River Rd",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "MS",
"postal_code": "389304212",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 N State St",
"address_purpose": "LOCATION",
"city": "Clarksdale",
"state": "MS",
"postal_code": "386146519",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 Madison Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046428",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "176 Goodman Rd W",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386719405",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Getwell Dr",
"address_purpose": "LOCATION",
"city": "Senatobia",
"state": "MS",
"postal_code": "386682213",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2704 W Oxford Loop Ste 110",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386555728",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8081 US Highway 51 N",
"address_purpose": "LOCATION",
"city": "Millington",
"state": "TN",
"postal_code": "380531730",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1355 W Brierbrook Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382208",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6029 Walnut Grove Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202112",
"country_code": "US",
"telephone_number": "901-747-3066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Sunset Dr Ste P",
"address_purpose": "LOCATION",
"city": "Grenada",
"state": "MS",
"postal_code": "389014084",
"country_code": "US",
"telephone_number": "901-390-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "SHELBY",
"middle_name": "PAULINE",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902923",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "188710",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "005925",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.