Active NPI
Charlie Penny Shelton, FNP-C
- Family Nurse Practitioner
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 115580-0697
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1434 - Phone
- (985) 345-2700
- NPI assigned
- Jun 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 115580-0697 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Mailing address
15744 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 345-4484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16033 Doctors Blvd
Hammond, LA 70403-1479
Phone (985) 974-9278
Hospital & facility affiliations
- North Oaks Medical Center
- Hood Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115580-0697 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Current | Accepting new patients | |
| Cardiovascular Clinic of Covington, LLC | Current | Accepting new patients | |
| Heart Clinic of Hammond | Past | Accepting new patients |
Locations
1616 S Columbia St
Ste A
Bogalusa, LA 70427
Phone (985) 273-3035
15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650
16033 Doctors Blvd
Hammond, LA 70403
Phone (985) 269-7105
15813 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-2663
Interoperability endpoints
- https://api.platform.athenahealth.com/3142/brand/1/csg/1/fhir/r4
- charlie.shelton.1@3142.direct.athenahealth.com
- https://api.platform.athenahealth.com/10974/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Hammond, LA
- NPI 1598060733
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1013302132
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Amite, LA
- NPI 1649460122
-
- Critical Access Hospital
- Amite, LA
- NPI 1003925959
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1861787954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15744 MEDICAL ARTS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031446",
"telephone_number": "985-345-4484",
"fax_number": "985-345-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-345-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "CHARLIE",
"middle_name": "PENNY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "115580-0697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.