Shelby Randulic, - Medicare Nurse Practitioner in Dover, OH

  1. Home
  2. Nurse Practitioner
  3. OH
  4. Dover
Shelby Randulic, is a medicare enrolled "Nurse Practitioner" in Dover, Ohio. Her current practice location is 659 Boulevard St, Dover, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 343-3311.

Shelby Randulic is licensed to practice in Ohio (license number APRN.CNP0031382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013646579.

Contact Information

Shelby Randulic,
659 Boulevard St,
Dover, OH 44622-2026
(330) 343-3311
Not Available

Map and Direction




Provider's Profile

Full NameShelby Randulic
GenderFemale
SpecialityNurse Practitioner
Location659 Boulevard St, Dover, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013646579
  • Provider Enumeration Date: 06/08/2022
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608245287
  • Enrollment ID: I20221205001237

Medical Identifiers

Medical identifiers for Shelby Randulic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013646579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP0031382 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby Randulic allows following entities to bill medicare on her behalf.
Entity NameThe Union Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871606921
PECOS PAC ID: 0648177725
Enrollment ID: O20031217000124
Entity NameAultman Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619911054
PECOS PAC ID: 3779485867
Enrollment ID: O20040121000010

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Randulic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelby Randulic,
9400 Lakeview Rd Ne,
Mineral City, OH 44656-9079

Ph: (330) 340-9640		Shelby Randulic,
659 Boulevard St,
Dover, OH 44622-2026

Ph: (330) 343-3311

Reviews and Comments


Nurse Practitioner Nurses in Dover, OH

Emily Reneker, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 314 E 13th St, Dover, OH 44622
Phone: 330-204-7075    
Tina Marie Alsept, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Medical Park Dr, Suite 103, Dover, OH 44622
Phone: 330-364-2311    Fax: 330-364-7802
Mrs. Amber Dunlap-ott, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 897 E Iron Ave, Dover, OH 44622
Phone: 330-343-5555    
Samantha Quillen, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Dublin Dr, Dover, OH 44622
Phone: 330-343-0753    
Amanda L Brock, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Dublin Dr Ste A, Dover, OH 44622
Phone: 330-364-8038    
Ms. Stacee Faye Miller, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 515 Union Ave, Suite 187, Dover, OH 44622
Phone: 330-343-4411    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.