Individual provider Active NPI

Shelby Dossi, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1831515642
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5462 Issued in AZ
Practice address
4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
Phone
(602) 772-3942
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5462 AZ Primary

Addresses

Primary practice location

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908

Mailing address

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
Phone (602) 772-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260331002670 MI Practitioner - Nurse Practitioner 6103114038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818

PO Box
Crown Point, IN 46308

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: shelby.dossi.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: shelby.dossi.1@30710.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1831515642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341908",
            "telephone_number": "602-772-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341908",
            "telephone_number": "602-772-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSI",
        "first_name": "SHELBY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.