Shelbi T Frees, APRN
Individual provider Active NPI Family Nurse Practitioner · Ellinwood, KS
NPI 1952175309 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1952175309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-82658 (KS)
- Practice address
- 300 N Park Ave
Ellinwood, KS 67526-1452 - Phone
- (620) 564-2548
- Fax
- (620) 564-2491
- NPI assigned
- Nov 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Plains of Ellinwood Inc
Practice addresses (Care Compare)
300 N Park Ave
Ellinwood Hospital Clinic
Ellinwood, KS 67526-1452
Phone (620) 564-2548
Hospital & facility affiliations
- Ellinwood District Hospital
- University of KS HLTH System Great Bend Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208000191 | KS | Practitioner - Nurse Practitioner | 5698124220 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82658 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains of Ellinwood Inc. | Current | Accepting new patients | |
| Great Plains of Ellinwood, Inc. | Current |
Accepting new patients | |
| Great Plains of Ellinwood Inc. | Current |
Accepting new patients |
Locations
611 N Main St
Ellinwood, KS 67526
Phone (316) 564-3771
605 N Main St
Ellinwood, KS 67526
Phone (620) 564-2548
300 N Park Ave
Ellinwood, KS 67526
Phone (620) 564-2548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-82658 | KS | Yes |
Addresses
Primary practice location
300 N Park Ave
Ellinwood, KS 67526-1452
Mailing address
300 N Park Ave
Ellinwood, KS 67526-1452
Phone (620) 564-3771
Other names
- Shelbi T Frees
Other providers in Ellinwood, KS
- Diversicare of Ellinwood, LLC
- Robin D Durrett
- Ellinwood Public Schools Usd 355
- Ellinwood Senior Living
- Five Star Quality Care-KS LLC
- Darnell B Ganley
- Great Plains of Ellinwood Inc.
- Great Plains of Ellinwood Inc.
- Great Plains of Ellinwood, Inc.
- Samuel Norman Gross
All providers in Ellinwood, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.