Shelley Wilcox Winzeler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-429 Issued in AL

Practice address

1651 Independence CT
Homewood, AL 35209-4173

Phone

(205) 580-1500

NPI assigned

Aug 19, 2006

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

Other identifiers 2

Other names 1

• Shelley L Wilcox Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCH Ventures LLCGroup PAC ID 4981958188, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.52 of 100Reported as group

Quality

72.22

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• CCH Ventures, LLC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1861976060
  Medicare reassignment Care Compare group
• Skin Diagnostics Group, PC

  • Clinical Medical Laboratory
  • Homewood, AL
  • NPI 1689922668
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1619081171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 INDEPENDENCE CT",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094173",
            "telephone_number": "205-580-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 INDEPENDENCE CT",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094173",
            "telephone_number": "205-580-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINZELER",
        "first_name": "SHELLEY",
        "middle_name": "WILCOX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL",
            "identifier": "515-31373",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5660",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WILCOX",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Wilson
• David Jordan Wilson, CRNP
• Tameron Wilson
• Winslett & Winslett Psychological Services, LLC
• Andrea H Winslett, PH.D.
• Wisdom Is Wealth, LLC
• Patricia Warren Wittig, CRNP-BC
• Morgan Aaron Wood, D.C.
• Wortham Dental
• Benjamin Thomas Wortham, DMD

• Medical Physician Assistant in Homewood, AL
• Providers in Homewood, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.