Active NPI
Shellie Sue Babich, PA
- Physician Assistant
- Crescent City, CA
National Provider Identifier
1508941436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15488
- Practice address
- 1240 Marshall St
Crescent City, CA 95531-2217 - Phone
- (707) 465-5566
- Fax
- (707) 465-4990
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15488 | CA | Primary |
Addresses
Primary practice location
1240 Marshall St
Crescent City, CA 95531-2217
Mailing address
1240 Marshall St
Crescent City, CA 95531-2217
Phone (707) 465-5566
Other names 1
- Shellie Sue Duncan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000970 | CA | Practitioner - Physician Assistant | 9335043223 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kevin J Caldwell M D Inc
Practice addresses (Care Compare)
1240 Marshall St
Crescent City, CA 95531-2217
Phone (707) 465-5566
Hospital & facility affiliations
- Sutter Coast Hospital
- Curry General Hospital
- Asante Three Rivers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 72.6
- Improvement activities
- 40
- Cost
- 74.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15488 | CA | MD | Counselor |
| PA15488 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Organizations & group practices 3
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 Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- General Acute Care Hospital
- Crescent City, CA
- NPI 1457367062
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1508941436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 MARSHALL ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312217",
"telephone_number": "707-465-5566",
"fax_number": "707-465-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 MARSHALL ST",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312217",
"telephone_number": "707-465-5566",
"fax_number": "707-465-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABICH",
"first_name": "SHELLIE",
"middle_name": "SUE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLIE",
"last_name": "DUNCAN",
"middle_name": "SUE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.