Individual provider Active NPI

Shelby K Kelly, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Huntsville, TX
National Provider Identifier
1821966813
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
1216524 Issued in TX
Practice address
3212 Robinson Creek Pkwy Ste 300
Huntsville, TX 77340-2781
Phone
(936) 439-4835
Fax
(936) 439-4837
NPI assigned
Oct 29, 2025
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC0200X 1216524 TX Primary

Addresses

Primary practice location

3212 Robinson Creek Pkwy Ste 300
Huntsville, TX 77340-2781

Mailing address

15080 Fannin Rd
Willis, TX 77378-3790
Phone (936) 217-0899

Other practice location 1

110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone (936) 291-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260307000161 TX Practitioner - Nurse Practitioner 1456833425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 540088
Houston, TX 77254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1216524TXMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir Sehgal MD PLLC Single Specialty CurrentSince Jan 28, 2026 Accepting new patients

Locations

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

3212 Robinson Creek Pkwy
Ste 300
Huntsville, TX 77340
Phone (936) 439-4835

Organizations & group practices 1

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1821966813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15080 FANNIN RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773783790",
            "telephone_number": "936-217-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 ROBINSON CREEK PKWY STE 300",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773402781",
            "telephone_number": "936-439-4835",
            "fax_number": "936-439-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Memorial Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404940",
            "country_code": "US",
            "telephone_number": "936-291-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHELBY",
        "middle_name": "K",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1216524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.