Active NPI
Shelrel F Berry, APRN
- Advanced Practice Midwife
- Panama City, FL
National Provider Identifier
1689690943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11012787
- Practice address
- 103 E 23Rd St
Panama City, FL 32405-4501 - Phone
- (850) 769-0338
- Fax
- (850) 640-2195
- NPI assigned
- Jul 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11012787 | FL | Primary |
| Advanced Practice Midwife | 367A00000X | 1052673 | AL |
Addresses
Primary practice location
103 E 23Rd St
Panama City, FL 32405-4501
Mailing address
PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410
Other practice location 1
1806 Fairview Ave
Dothan, AL 36301-3026
Phone (334) 677-5986
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51534465 | Other | BLUE CROSS BLUE SHIELD | |
| 51545741 | Medicaid | AL | |
| 891013060 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052673 | AL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Current | Accepting new patients | |
| Womencare PA | Past | Accepting new patients | |
| Azalea Physicians for Women, P.C. | Past | Accepting new patients |
Locations
199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699
103 E 23rd St
Panama City, FL 32405
Phone (850) 769-0338
1002 N Arnold Rd
Unit 303
Panama City Beach, FL 32413
Phone (850) 769-0338
Interoperability endpoints
- shelrel.berry.1@2183.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Specialist
- Orlando, FL
- NPI 1366529042
-
- Obstetrics & Gynecology Physician
- Ozark, AL
- NPI 1356490627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1689690943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9100",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159100",
"telephone_number": "561-300-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054501",
"telephone_number": "850-769-0338",
"fax_number": "850-640-2195"
}
],
"practiceLocations": [
{
"address_1": "1806 Fairview Ave",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363013026",
"country_code": "US",
"telephone_number": "334-677-5986",
"fax_number": "334-677-4901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "SHELREL",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11012787",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AL",
"license": "1052673",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51534465",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51545741",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891013060",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.