Look up the most recent NPI and PECOS records

Donna Shelton

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Donna Shelton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1023009115
Provider Type
Individual
Full Name
Shelton, Donna
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/29/2005
Last Updated
8/28/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP3407382 Florida

Donna Shelton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ryland, Kristen

Esomonu, Chinenye

Kwok, Sabrina

Watson, Cecilia

Pella, Lisa Phillips

Reynolds, Gina

Cardona, Kathryn

Conigliaro, Michael Joseph

Edwards, Steven

Bezerra, Andre Luiz