Shelby Nicole Amey – Family Nurse Practitioner

Key facts

NPI: 1962237396
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 220105 (OK)
Practice address: 1201 S Adams St
Stillwater, OK 74074-5476
Phone: (405) 533-2060
NPI assigned: Sep 5, 2024
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Stillwater Neurology, LLC Neurology Physician · Stillwater, OK · NPI 1538542618

Medicare reassignment Care Compare group NPD OK

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Stillwater Medical Center Authority General Acute Care Hospital · Stillwater, OK · NPI 1164494027

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Stillwater Neurology LLC (3 clinicians)

Practice addresses (Care Compare)

1201 S Adams St
Stillwater, OK 74074-5476
Phone (405) 533-2060

Hospital & facility affiliations

Stillwater Medical Center Hospital · Stillwater, OK · CCN 370049

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK
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
I20241024002058	OK	Practitioner - Nurse Practitioner	0648703017	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
220105	OK	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Stillwater Neurology, LLC		Current since Oct 1, 2024	Accepting new patients

Locations

610 S Walnut St
Stillwater, OK 74074
Phone (405) 533-2060

1201 S Adams St
Stillwater, OK 74074
Phone (405) 533-2060

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	220105	OK	Yes

Addresses

Primary practice location

1201 S Adams St
Stillwater, OK 74074-5476

Mailing address

9605 E 32ND Ave
Stillwater, OK 74074-6675
Phone (918) 939-8097

Other providers in Stillwater, OK

All providers in Stillwater, OK · Family Nurse Practitioner in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.