Individual provider Active NPI

Shelly Poplin

  • Pediatric Nurse Practitioner
  • Duncan, OK
National Provider Identifier
1548524499
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
87908 Issued in OK
Practice address
2560 W Elk Ave
Duncan, OK 73533-1562
Phone
(580) 252-9600
Fax
(580) 252-6100
NPI assigned
Jun 26, 2012
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 87908 OK Primary

Addresses

Primary practice location

2560 W Elk Ave
Duncan, OK 73533-1562

Mailing address

2560 W Elk Ave
Duncan, OK 73533-1562
Phone (580) 252-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250730002320 OK Practitioner - Nurse Practitioner 0941717201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87908OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Regional Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

2502 W Elk Ave
Duncan, OK 73533
Phone (580) 252-9600

8148 State Highway 17
Elgin, OK 73538
Phone (580) 454-2273

Interoperability endpoints

  • Direct secure messaging: shelly.poplin@direct.drhhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1548524499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331562",
            "telephone_number": "580-252-9600",
            "fax_number": "580-252-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331562",
            "telephone_number": "580-252-9600",
            "fax_number": "580-252-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLIN",
        "first_name": "SHELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "87908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.