Individual provider Active NPI

Shelby Abdulla Pitts, NP-C

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1679079784
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7977558-4405 Issued in UT
Practice address
5640 Wasatch Dr Ste a
Ogden, UT 84403-4993
Phone
(801) 920-6974
Fax
(877) 550-0662
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7977558-4405 UT Primary

Addresses

Primary practice location

5640 Wasatch Dr Ste a
Ogden, UT 84403-4993

Mailing address

5544 S 1425 E
Ogden, UT 84403-5160
Phone (801) 920-6974

Other identifiers 1

IdentifierTypeStateIssuer
1679079784MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20180717003045 UT Practitioner - Nurse Practitioner 8123375581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3054 Polk Ave
Ogden, UT 84403-0589

5544 S 1425
Ogden, UT 84403-5160

5640 Wasatch Dr
Suite a
South Ogden, UT 84403-4993
Phone (801) 920-6974

Hospital & facility affiliations

  • Atlas Home Care Home health agency, Layton, UT, CCN 467232
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Pitts FNP PLLC Family Medicine CurrentSince Dec 2, 2022 Accepting new patients
Ogden Clinic PC Family Medicine CurrentSince Jun 25, 2018 Accepting new patients
Ogden Clinic Specialty Services LLC Current Accepting new patients

Locations

852 N Main St
Brigham City, UT 84302
Phone (801) 920-6974

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

5640 Wasatch Dr
Ste A
South Ogden, UT 84403
Phone (801) 479-6590

Interoperability endpoints

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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1679079784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 S 1425 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035160",
            "telephone_number": "801-920-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR STE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034993",
            "telephone_number": "801-920-6974",
            "fax_number": "877-550-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "SHELBY",
        "middle_name": "ABDULLA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7977558-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679079784",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.