Individual provider Active NPI

Rachel Shelby, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1871805382
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06143 Issued in LA
Practice address
100 Centurylink Dr
Monroe, LA 71203-2041
Phone
(318) 582-7272
Fax
(318) 360-4876
NPI assigned
Jul 13, 2010
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 AP06143 LA Primary

Addresses

Primary practice location

100 Centurylink Dr
Monroe, LA 71203-2041

Mailing address

2411 Pargoud Blvd
Monroe, LA 71201-2326

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000680 LA Practitioner - Nurse Practitioner 8426172214 Reassigns benefits to 1 organization

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
St Francis Urgent Care LLCGroup PAC ID 6608181516, 11 clinicians

Practice addresses (Care Compare)

2020 Tower Dr
Suite 100
Monroe, LA 71201-5036
Phone (318) 966-6220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Urgent Care LLC CurrentSince Oct 11, 2018 Accepting new patients
St Francis Medical Group LLC PastSince Dec 9, 2013 Accepting new patients

Locations

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

3424 Cypress St
West Monroe, LA 71291
Phone (318) 450-4626

Interoperability endpoints

  • Direct secure messaging: cormedicalllc.rachelshelby@161340.advancedmd-direct.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, 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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1871805382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PARGOUD BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURYLINK DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032041",
            "telephone_number": "318-582-7272",
            "fax_number": "318-360-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.